Organization · Type 2 NPI

Jacksonville Cosmetic Surgry Center

Ambulatory Surgical Clinic/Center · Jacksonville, FL

NPI number 1174635148 Active

Practice location

820 Prudential Dr, Suite 702
Jacksonville, FL 32207-8210

Fax (904) 399-5062

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1174635148

Jacksonville Cosmetic Surgry Center's National Provider Identifier is 1174635148, issued on Aug 31, 2006. 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 Aug 22, 2020.