Organization
JACKSONVILLE BEACH SURGERY CENTER, LLC
Active
Other names
Jacksonville Beach Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER B. BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3316 SOUTH THIRD STREET, STE 200, JACKSONVILLE BEACH, FL 32250
(904) 247-8181
(904) 247-8101
Mailing address
3316 SOUTH THIRD STREET, STE 200, JACKSONVILLE BEACH, FL 32250
(904) 247-8181
(904) 247-8101
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070933600
—
FL
Enumeration date
03/11/2006
Last updated
11/18/2024
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