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Organization
PONTE VEDRA BEACH SURGERY CENTER LLC
Active
Organization
PONTE VEDRA BEACH SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BORGESON HARRIS M.D. (PRESIDENT)
(904) 285-7202
Entity
Organization
Contact information
Practice address
1030 A1A N, PONTE VEDRA BEACH, FL 32082-4019
(904) 285-7202
(904) 285-3931
Mailing address
1030 A1A N, PONTE VEDRA BEACH, FL 32082-4019
(904) 285-7202
(904) 285-3931
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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