Jacksonville Beach Surgery Center

LBN: Jacksonville Beach Surgery Center, Llc
Jacksonville Beach Surgery Center is an health care organization with primary practice located at 3316 South Third Street Ste 200, Jacksonville Beach FL 32250. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Jacksonville Beach Surgery Center, Llc can be contacted via phone (904) 247-8181, or through Baldock, Jennifer B. via phone (615) 234-5900.

Contact Information

Primary practice address
3316 South Third Street Ste 200 Jacksonville Beach FL 32250
Phone: (904) 247-8181
Fax: (904) 247-8101
Website:
Map and Directions
Authorized official contact:
Name: Baldock, Jennifer B.
Phone: (615) 234-5900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 1120 Florida

Profile Details

NPI number 1497723720
LBN Legal business name Jacksonville Beach Surgery Center, Llc
DBA Doing business as Jacksonville Beach Surgery Center
Authorized official Baldock, Jennifer B.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2006
Last updated Nov 1st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497723720 NPPES
Florida MEDICAID 070933600

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