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

Trauma & Specialty Surgery Institute, LLC

Organization Surgery Physician · NPI 1275667057

Trauma & Specialty Surgery Institute, LLC is a Surgery Physician 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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