Organization · Type 2 NPI
Surgcenter of Greater Jacksonville, LLC
Ambulatory Surgical Clinic/Center · Jacksonville, FL
NPI number
1104485440
Active
Practice location
9143 Philips Hwy Ste 500
Jacksonville, FL 32256-1335
Mailing address
14201 Dallas Pkwy
Dallas, TX 75254-2916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1104485440
Surgcenter of Greater Jacksonville, LLC's National Provider Identifier is 1104485440, issued on Jun 11, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 10, 2024.