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Organization
EYE SURGERY CENTER OF NORTH FLORIDA LLC
Active
Organization
EYE SURGERY CENTER OF NORTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BECKER (CFO)
(702) 432-2594
Entity
Organization
Contact information
Practice address
7205 BENTLEY RD, JACKSONVILLE, FL 32256-7565
(904) 296-0098
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66I
BCBS
FL
01
—
P00445115
MEDICARE RAILROAD
FL
Enumeration date
05/16/2007
Last updated
04/10/2026
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