Organization
FLEMING ISLAND SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA SHEA MCLAUGHLIN (DIRECTOR OF CONTRACTING)
(727) 785-9800
Entity
Organization
Contact information
Practice address
1670 EAGLE HARBOR PKWY, SUITE B, ORANGE PARK, FL 32003-4806
(904) 541-3048
(904) 215-7960
Mailing address
1670 EAGLE HARBOR PKWY, SUITE B, ORANGE PARK, FL 32003-4806
(904) 541-3048
(904) 215-7960
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
STATE LICENSE NUMBER
FL
Enumeration date
11/29/2006
Last updated
08/22/2020
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