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Organization
FIRST COAST ORTHOPEDIC CENTER, LLC
Active
Organization
FIRST COAST ORTHOPEDIC CENTER, LLC
Active
Other names
First Coast Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KASHONDRA SMITH (CHIEF ADMINISTRATIVE OFFICER)
(904) 507-6047
Entity
Organization
Contact information
Practice address
4035 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL 32216
(904) 507-6077
Mailing address
4035 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL 32216
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
04/27/2021
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