Jacksonville Children'S Surgery Center, Llc

LBN: Jacksonville Children'S Surgery Center, Llc
Jacksonville Children'S Surgery Center, Llc is an health care organization with primary practice located at 3599 University Blvd S Ste 604 , Jacksonville FL 32216-4234. 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 Children'S Surgery Center, Llc can be contacted via phone (904) 525-8629, or through Larsen, Devin via phone (208) 340-1840.

Contact Information

Primary practice address
3599 University Blvd S Ste 604 Jacksonville FL 32216-4234
Fax:
Website:
Authorized official contact:
Name: Larsen, Devin

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 390 Florida

Profile Details

NPI number 1770620742
LBN Legal business name Jacksonville Children'S Surgery Center, Llc
DBA Doing business as
Authorized official Larsen, Devin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Aug 15th, 2022 - about 2 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 1770620742 NPPES
Florida Other 683 BLUE CROSS BLUE SHIELD

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