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Organization
SURGICAL CENTER OF PONTE VEDRA BEACH LLC
Active
Organization
SURGICAL CENTER OF PONTE VEDRA BEACH LLC
Active
Other names
Ponte Vedra Beach Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTYN COLLIER (MANAGER)
(904) 285-1199
Entity
Organization
Contact information
Practice address
1030 A1A N, PONTE VEDRA BEACH, FL 32082-4019
(907) 285-1199
(907) 285-1197
Mailing address
1030 A1A N, PONTE VEDRA BEACH, FL 32082-4019
(907) 285-1199
(907) 285-1197
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1215
FL
Other
Enumeration date
03/06/2015
Last updated
07/29/2019
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