Provider Profile
EYE SURGERY CENTER OF ST AUGUSTINE INC
Ambulatory Surgical Center
FACILITY PROFILE
Accredited by: Accreditation Association for Ambulatory Health Care
Street Address
- 1400 US HWY 1 S SUITE B
SAINT AUGUSTINE, FL 32084
County: St. Johns - Phone: (904) 829-2344
Mailing Address
- 1400 US HWY 1 S SUITE B
SAINT AUGUSTINE, FL 32084
County: St. Johns - Phone: (904) 484-7360
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Facility Information:
| Facility/Provider Type: | Ambulatory Surgical Center | ||||||
| Administrator: | CANDICE L SHAVE | ||||||
| Financial Officer: | IAN MALTZMAN | ||||||
| Owner/Licensee: | EYE SURGERY CENTER OF ST AUGUSTINE INC | ||||||
| Owner/Licensee Since: | 11/19/2003 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | Not Available | ||||||
| Bed Types: | Operating Rooms: 2 Recovery Beds: 6 | ||||||
| AHCA Number (File Number): | 14960504 | ||||||
| AHCA Field Office: | 04 | ||||||
| License Number: | 1195 | ||||||
| Current License Effective: | 4/22/2024 | ||||||
| Current License Expires: | 4/21/2026 | ||||||
| License Status: | LICENSED | ||||||
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Services/Characteristics
Not Available
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 4/22/2024 | |||||
| 3/7/2014 | 2014002337 | Fine | Reporting | $1,050.00 | 4/24/2014 |
| 6/5/2013 | 2013005991 | Fine | Reporting | $300.00 | 6/25/2013 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.