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Organization

SURGCENTER OF GREATER JACKSONVILLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLIN LEMAISTRE (MARKET PRESIDENT)
(214) 213-0723
Entity
Organization

Contact information

Practice address
9143 PHILIPS HWY STE 500, JACKSONVILLE, FL 32256-1335
(904) 233-0597
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(469) 893-2500

Taxonomy

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

Other

Enumeration date
06/11/2019
Last updated
09/10/2024
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