Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Trauma & Specialty Surgery Institute, LLC

Organization Surgery Physician · NPI 1275667057

Trauma & Specialty Surgery Institute, LLC provides Surgery Physician services in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

311 N Clyde Morris Blvd Ste 440
Daytona Beach, FL 32114-2757
Phone: (386) 252-0688
Fax: (386) 675-6401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME 65570 (FL)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence ME65570 (FL)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence ME65570 (FL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence ME65570 (FL)

Record details

NPI number1275667057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Jazarevic — Office Manager · (772) 233-6166
NPI enumeratedMarch 15, 2007
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021
Mailing address1076 Fern Trl, Waynesville, NC 28786-9706

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