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Organization
WESTSIDE SURGERY CENTER LLC
Active
Organization
WESTSIDE SURGERY CENTER LLC
Active
Other names
Parkside Surgery Center, Westside Surgery Center Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCKNIGHT (VP/CFO)
(972) 789-2816
Entity
Organization
Contact information
Practice address
2731 PARK ST, JACKSONVILLE, FL 32205-7607
(904) 389-1077
(904) 338-9016
Mailing address
2731 PARK ST, JACKSONVILLE, FL 32205-7607
(904) 389-1077
(904) 338-9016
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AHCA895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079187500
—
FL
Enumeration date
04/07/2006
Last updated
09/08/2026
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