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 is an Ambulatory Surgical Clinic/Center 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
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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