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

St Augustine Ambulatory Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1598643140

St Augustine Ambulatory Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in St Augustine, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

45 Groover Loop
St Augustine, FL 32086-6548
Phone: (904) 648-8660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1598643140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Haen — Executive Director · (904) 648-8660
NPI enumeratedAugust 22, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address45 Groover Loop, St. Augustine, FL 32086-6548

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