Provider Profile
NEW SMYRNA BEACH AMBULATORY CARE CENTER
Ambulatory Surgical Center
FACILITY PROFILE
Street Address
- 612 PALMETTO ST
NEW SMYRNA BEACH, FL 32168
County: Volusia - Phone: (386) 423-5500
Mailing Address
- 612 PALMETTO ST
NEW SMYRNA BEACH, FL 32168
County: Volusia - Phone: (386) 423-5500
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Facility Information:
Facility/Provider Type: | Ambulatory Surgical Center | ||||||
Administrator: | MARK A NAGRANI | ||||||
Financial Officer: | MARK A NAGRANI | ||||||
Owner/Licensee: | NEW SMYRNA BEACH AMBULATORY CARE CENTER INC | ||||||
Owner/Licensee Since: | 8/1/2000 | ||||||
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Profit Status: | For-Profit | ||||||
Management Company: | Not Available | ||||||
Manager Since: | Not Available | ||||||
Licensed Beds: | Not Available | ||||||
Bed Types: | Operating Rooms: 1 Recovery Beds: 3 | ||||||
AHCA Number (File Number): | 161 | ||||||
AHCA Field Office: | 04 | ||||||
License Number: | 1017 | ||||||
Current License Effective: | 3/10/2025 | ||||||
Current License Expires: | 3/9/2027 | ||||||
License Status: | LICENSED |
Services/Characteristics
Not Available
Legal Actions
Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
---|---|---|---|---|---|
6/7/2016 | 2016006477 | Fine | Reporting | $800.00 | 8/31/2016 |
1/21/2014 | 2014000560 | Fine | Application | $200.00 | 4/16/2014 |
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.