Organization
RIVERSIDE KINGSLEY ENDOSCOPY SURGICENTER, LLC
Active
Other names
Riverside Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G SWINNEY (VP/CFO)
(972) 789-2877
Entity
Organization
Contact information
Practice address
2151 RIVERSIDE AVE STE 1, JACKSONVILLE, FL 32204-4416
(904) 388-8686
Mailing address
2151 RIVERSIDE AVE STE 1, JACKSONVILLE, FL 32204-4416
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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