Organization
JAX ANESTHESIA PROVIDERS LLC
Active
Organization
JAX ANESTHESIA PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK R GROOVER MD (CEO)
(904) 483-5850
Entity
Organization
Contact information
Practice address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 483-5850
(904) 483-5860
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 483-5850
(904) 483-5960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277552200
—
FL
Enumeration date
06/10/2006
Last updated
01/12/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up