Centurion Surgery Center of Jacksonville, LLC
NPI #1053059220 in Jacksonville, Florida
Provider Information
- NPI Number
- 1053059220
- Entity Type
- Organization
- Organization Name
- Centurion Surgery Center of Jacksonville, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 26, 2022
- Last Updated
- Jan 2, 2024
Practice Location
- Address
- 5191 FIRST COAST TECH PKWY
- Address 2
- 1ST FLOOR
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32224
- Phone
- (904) 593-5146
Authorized Official
- Name
- ALICIA GROTH
- Title
- CREDENTIALING MANAGER
- Phone
- (904) 256-2754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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