Organization
BRASA SURGERY CENTER, LLC
Active
Other names
Prior name: Journey Lite of North Florida, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CYWES MD (GOVERNING BODY CHAIR)
(904) 399-4004
Entity
Organization
Contact information
Practice address
8767 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216
(904) 652-0700
(904) 652-0704
Mailing address
8767 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216
(904) 652-0700
(904) 652-0704
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
06/21/2010
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