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Organization

PONTE VEDRA AMBULATORY SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN SOLOMON (MANAGING EMPLOYEE)
(904) 273-6200
Entity
Organization

Contact information

Practice address
209 PONTE VEDRA PARK DRIVE, PONTE VEDRA BEACH, FL 32082-6600
(904) 273-6200
(904) 280-8013
Mailing address
209 PONTE VEDRA PARK DRIVE, PONTE VEDRA BEACH, FL 32082-6600
(904) 273-6200
(904) 280-8013

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10-C001394
FL
261QA1903X
Ambulatory Surgical Clinic/Center
1156
FL

Other

Enumeration date
08/30/2006
Last updated
04/25/2024
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