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Organization
PONTE VEDRA BCH SURGERY CLINIC
Active
Organization
PONTE VEDRA BCH SURGERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B HARRIS MD (OWNER MEDICAL DIRECTOR)
(904) 285-3931
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
1215
FL
Other
Enumeration date
07/24/2006
Last updated
10/20/2011
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