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Organization
PONTE VEDRA AMBULATORY SURGERY CENTER, LLC
Active
Organization
PONTE VEDRA AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN SOLOMON (MANAGING EMPLOYEE)
(904) 273-6200
Entity
Organization
Contact information
Practice address
209 PONTE VEDRA PARK DRIVE, PONTE VEDRA BEACH, FL 32082-6600
(904) 273-6200
(904) 280-8013
Mailing address
209 PONTE VEDRA PARK DRIVE, PONTE VEDRA BEACH, FL 32082-6600
(904) 273-6200
(904) 280-8013
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10-C001394
FL
261QA1903X
Ambulatory Surgical Clinic/Center
1156
FL
Other
Enumeration date
08/30/2006
Last updated
04/25/2024
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