Organization
EYE SURGERY CENTER OF NORTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BECKER (CFO)
(702) 432-2594
Entity
Organization
Contact information
Practice address
7205 BENTLEY RD, JACKSONVILLE, FL 32256-7565
(904) 296-0098
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66I
BCBS
FL
01
—
P00445115
MEDICARE RAILROAD
FL
Enumeration date
05/16/2007
Last updated
04/10/2026
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