Organization
SURGICAL SPECIALISTS ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASE DEROBERTO RN (ADMIN)
(850) 315-9231
Entity
Organization
Contact information
Practice address
1034 MAR WALT DR STE 300, FORT WALTON BEACH, FL 32547-6645
(850) 315-9385
(850) 315-9350
Mailing address
1034 MAR WALT DR UNIT 300, FORT WALTON BEACH, FL 32547-6637
(850) 315-9385
(850) 315-9350
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
02/04/2026
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