Organization
JACKSONVILLE SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CYWES M.D., PHD (PRESIDENT)
(904) 410-3934
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 703, JACKSONVILLE, FL 32216-6280
(904) 410-3934
(904) 503-4832
Mailing address
PO BOX 551695, JACKSONVILLE, FL 32255-1695
(904) 410-3934
(904) 503-4832
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME85894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265205600
—
FL
01
—
K5489
MEDICARE
FL
Enumeration date
09/26/2006
Last updated
11/01/2023
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