Organization
FIRST COAST ORTHOPEDIC CENTER, LLC
Active
Other names
First Coast Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KASHONDRA SMITH (CHIEF ADMINISTRATIVE OFFICER)
(904) 507-6047
Entity
Organization
Contact information
Practice address
4035 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL 32216
(904) 507-6077
Mailing address
4035 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL 32216
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
04/27/2021
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