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Organization

PONTE VEDRA BCH SURGERY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN B HARRIS MD (OWNER MEDICAL DIRECTOR)
(904) 285-3931
Entity
Organization

Contact information

Practice address
1030 A1A N, PONTE VEDRA BEACH, FL 32082-4019
(904) 285-7202
(904) 285-3931
Mailing address
1030 A1A N, PONTE VEDRA BEACH, FL 32082-4019
(904) 285-7202
(904) 285-3931

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1215
FL

Other

Enumeration date
07/24/2006
Last updated
10/20/2011
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