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

St Nicholas Ambulatory Surgical Center PA

Organization Ambulatory Surgical Clinic/Center · NPI 1194154161

St Nicholas Ambulatory Surgical Center PA is an Ambulatory Surgical Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2570 Atlantic Blvd
Jacksonville, FL 32207-3604
Phone: (904) 647-8576
Fax: (904) 253-3098
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

Record details

NPI number1194154161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rene Pulido — President · (904) 647-8576
NPI enumeratedNovember 11, 2013
Last updated in NPPESNovember 11, 2013
Mailing address2624 Atlantic Blvd, Jacksonville, FL 32207-3668

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