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

Ips of Jacksonville LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1417192022

Ips of Jacksonville LLC is an Ambulatory Surgical Clinic/Center in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

4754 E State Road 64
Bradenton, FL 34208-9058
Phone: (888) 337-3509
Fax: (941) 328-3997
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 1176 (FL)

Record details

NPI number1417192022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Noback — Member · (941) 360-1566
NPI enumeratedDecember 10, 2008
Last updated in NPPESJanuary 10, 2017
Mailing addressPo Box 864483, Orlando, FL 32886-4483

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