Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ponte Vedra Bch Surgery Clinic

Organization Ambulatory Surgical Clinic/Center · NPI 1225050974

Ponte Vedra Bch Surgery Clinic provides Ambulatory Surgical Clinic/Center services in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

1030 A1A N
Ponte Vedra Beach, FL 32082-4019 Not confirmed with CMS for 14 years — call before visiting
Phone: (904) 285-7202
Fax: (904) 285-3931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 1215 (FL)

Record details

NPI number1225050974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Harris — Owner Medical Director · (904) 285-3931
NPI enumeratedJuly 24, 2006
Last updated in NPPESOctober 20, 2011
Mailing address1030 A1a N, Ponte Vedra Beach, FL 32082-4019

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