Organization
RIVERSIDE SURGICAL CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
7207 GOLDEN WINGS ROAD, SUITE 200, JACKSONVILLE, FL 32244-0000
(866) 631-7890
Mailing address
7207 GOLDEN WINGS ROAD, SUITE 200, JACKSONVILLE, FL 32244-0000
(866) 631-7890
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Enumeration date
03/02/2009
Last updated
02/07/2020
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