Organization
NORTH FLORIDA SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARK RODKEY (VICE PRESIDENT)
(850) 523-3816
Entity
Organization
Contact information
Practice address
1121 NW 64TH TER, SUITE B, GAINESVILLE, FL 32605-4243
(352) 331-3583
(352) 331-3669
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
(866) 831-4898
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275341300
—
FL
Enumeration date
12/06/2005
Last updated
11/10/2017
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