Organization
OUTPATIENT SERVICE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADY A EL-BAHRI M.D. (PRESIDENT)
(904) 739-0050
Entity
Organization
Contact information
Practice address
9726 TOUCHTON RD, JACKSONVILLE, FL 32246-8304
(904) 349-8679
Mailing address
3624 BRIDGEWOOD DR, JACKSONVILLE, FL 32277-8903
(904) 349-8679
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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