The Surgery Center of Jacksonville, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE SURGERY CENTER OF JACKSONVILLE, LLC

Practice address

10475 Centurion Pkwy N
Jacksonville, FL 32256

Phone

(352) 567-6502

NPI assigned

Sep 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sandra Jones, RN

Title

Manager

Phone

(352) 567-6502

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1124122577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13981 PARADISE LN",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335258145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 CENTURION PKWY N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "352-567-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGERY CENTER OF JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-567-6502",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Right Lane LLC
• The Right Way Group Home
• The Smile Mission Jacksonville PLLC
• The Smile Society, PLLC
• The Surgery Center of Jacksonville LLC
• The Taylor Genesis Group LLC
• The Thomas Hill Group Inc
• The Vein Clinic
• The Virtuous Woman Inc
• The Wig Doctor RX Florida Inc

• Ambulatory Surgical Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.