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Organization

CENTURION SURGERY CENTER OF JACKSONVILLE, LLC

Active
Other names
Centurion Surgery Center Of Jacksonville
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA M GROTH (CREDENTIALING MANAGER)
(904) 223-3321
Entity
Organization

Contact information

Practice address
5191 FIRST COAST TECH PKWY, 1ST FLOOR, JACKSONVILLE, FL 32224
(904) 593-5146
(904) 593-6642
Mailing address
5191 FIRST COAST TECH PKWY FL 1, JACKSONVILLE, FL 32224-0609
(904) 593-5146
(904) 593-6642

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
05/26/2022
Last updated
02/25/2026
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