Organization
WESTSIDE SURGERY CENTER LLC
Active
Other names
Parkside Surgery Center, Westside Surgery Center Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
2731 PARK ST, JACKSONVILLE, FL 32205-7607
(904) 389-1077
(904) 338-9016
Mailing address
2731 PARK ST, JACKSONVILLE, FL 32205-7607
(904) 389-1077
(904) 338-9016
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AHCA895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079187500
—
FL
Enumeration date
04/07/2006
Last updated
01/25/2023
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