Riverside Park Surgicenter Llc in Jacksonville - Ambulatory Surgical

Riverside Park Surgicenter Llc - NPI 1881697522

Riverside Park Surgicenter Llc is a Ambulatory Surgical in Jacksonville, Florida. Riverside Park Surgicenter Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Riverside Park Surgicenter Llc is 1881697522. The last update date is 2022-06-17.

Riverside Park Surgicenter Llc's current location address is 2001 College St, Jacksonville, Florida. You can contact this provider via phone number 9043559800 and fax number 9043568680. The mailing address for Riverside Park Surgicenter Llc is 2001 College St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Riverside Park Surgicenter Llc
Address 2001 College St, Jacksonville, Florida
Phone Number 9043559800
Fax Number 9043568680
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICER/AU
Authorized Official Name Lemaistre Collin
Telephone Number 9043559800

NPI Number Detail

NPI Number 1881697522
Provider Enumeration Date 2005-05-25
Last Updated Date 2022-06-17

Provider Mailing Address Detail

Address 2001 College St
City Jacksonville
State Florida (FL)
Post Code 3220437030
Phone Number 9043559800
Fax Number 9043568680

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 80003681
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10C0001167 FL MEDICARE DMERC
17626 FL CIGNA
62J FL BCBS
101679 FL AVMED
79102400 FL --
490001993 FL RR MEDICARE
6800031 FL UNITED

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FAQs about Riverside Park Surgicenter Llc

What is the unique 10-digit identification code issued to Riverside Park Surgicenter Llc by the Centers for Medicare & Medicaid Services?

The Riverside Park Surgicenter Llc has been assigned the NPI (National Provider Identifier) 1881697522 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Riverside Park Surgicenter Llc is physically located?

The Riverside Park Surgicenter Llc is physically situated at the following address: 2001 College St, Jacksonville, FL, 3220437030.

What is Riverside Park Surgicenter Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Riverside Park Surgicenter Llc's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.

When did Riverside Park Surgicenter Llc receive its 1881697522 assignment?

The Riverside Park Surgicenter Llc was assigned its 1881697522 on 2005-05-25, which is the date when this unique identifier was issued to the organization.

When was the Riverside Park Surgicenter Llc's information last updated?

The Riverside Park Surgicenter Llc's information was last updated on 2022-06-17.

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