Jacksonville Beach Surgery Center, Llc in Jacksonville Beach - Ambulatory Surgical

Jacksonville Beach Surgery Center, Llc - NPI 1497723720

Jacksonville Beach Surgery Center, Llc is a Ambulatory Surgical in Jacksonville Beach, Florida. Jacksonville Beach Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Jacksonville Beach Surgery Center, Llc is 1497723720. The last update date is 2016-11-01.

Jacksonville Beach Surgery Center, Llc's current location address is 3316 South Third Street, Jacksonville Beach, Florida. You can contact this provider via phone number 9042478181 and fax number 9042478101. The mailing address for Jacksonville Beach Surgery Center, Llc is 3316 South Third Street, Jacksonville Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jacksonville Beach Surgery Center, Llc
Address 3316 South Third Street, Jacksonville Beach, Florida
Phone Number 9042478181
Fax Number 9042478101
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SR VICE PR
Authorized Official Name Baldock B. Jennifer
Telephone Number 6152345900

NPI Number Detail

NPI Number 1497723720
Provider Enumeration Date 2006-03-11
Last Updated Date 2016-11-01

Provider Mailing Address Detail

Address 3316 South Third Street
City Jacksonville Beach
State Florida (FL)
Post Code 32250
Phone Number 9042478181
Fax Number 9042478101

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 1120
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70933600 FL --

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FAQs about Jacksonville Beach Surgery Center, Llc

What is the Jacksonville Beach Surgery Center, Llc's 1497723720?

The Jacksonville Beach Surgery Center, Llc's NPI (National Provider Identifier) Number is 1497723720. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jacksonville Beach Surgery Center, Llc is geographically located?

The Jacksonville Beach Surgery Center, Llc is physically situated at the following location: 3316 South Third Street, Jacksonville Beach, FL, 32250.

What is Jacksonville Beach Surgery Center, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jacksonville Beach Surgery Center, Llc is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497723720 to Jacksonville Beach Surgery Center, Llc?

The Jacksonville Beach Surgery Center, Llc received its 1497723720 assignment from the Centers for Medicare & Medicaid Services on 2006-03-11.

As of what date were the details related to Jacksonville Beach Surgery Center, Llc most recently updated or revised?

The information pertaining to Jacksonville Beach Surgery Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2016-11-01.

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