Organization
SURGICAL CENTER OF PONTE VEDRA BEACH LLC
Active
Other names
Ponte Vedra Beach Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTYN COLLIER (MANAGER)
(904) 285-1199
Entity
Organization
Contact information
Practice address
1030 A1A N, PONTE VEDRA BEACH, FL 32082-4019
(907) 285-1199
(907) 285-1197
Mailing address
1030 A1A N, PONTE VEDRA BEACH, FL 32082-4019
(907) 285-1199
(907) 285-1197
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1215
FL
Other
Enumeration date
03/06/2015
Last updated
07/29/2019
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