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Organization
RMSC
Active
Organization
RMSC
Active
Other names
Monument 9a Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER NOLAN PHILLIPS III (MANAGING PARTNER)
(770) 335-9797
Entity
Organization
Contact information
Practice address
1205 MONUMENT RD, SUITE 302, JACKSONVILLE, FL 32225-7406
(904) 727-1061
Mailing address
1205 MONUMENT RD, SUITE 302, JACKSONVILLE, FL 32225-7406
(904) 727-1061
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1318
FL
Other
Enumeration date
09/09/2009
Last updated
11/15/2009
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