Organization
JACKSONVILLE CV AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TOMLINSON KLINE IV (SR. VP, OPERATIONS)
(303) 396-9391
Entity
Organization
Contact information
Practice address
11851 STILLWOOD PINES BLVD, SUITE 112, JACKSONVILLE, FL 32224
(919) 329-2882
Mailing address
11851 STILLWOOD PINES BLVD, SUITE 112, JACKSONVILLE, FL 32224
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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