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Organization

BGC HOLDINGS INC

Active
Other names
Jacksonville Center for Endoscopy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK R GROOVER MD (CEO)
(904) 398-3262
Entity
Organization

Contact information

Practice address
1610 BARRS ST, JACKSONVILLE, FL 32204-4569
(904) 387-6750
(904) 387-4766
Mailing address
1610 BARRS ST, JACKSONVILLE, FL 32204-4569
(904) 387-6750
(904) 387-4766

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1092
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
076593700
FL
Enumeration date
03/15/2006
Last updated
01/12/2010
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