Plaza Surgery Center

LBN: Memorial Surgicare Ltd
Plaza Surgery Center is an health care organization with primary practice located at 3901 University Blvd S Suite 111, Jacksonville FL 32216-4377. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Memorial Surgicare Ltd can be contacted via phone (904) 448-1948, or through Liedtke, Don via phone (615) 344-5507.

Contact Information

Primary practice address
3901 University Blvd S Suite 111 Jacksonville FL 32216-4377
Phone: (904) 448-1948
Fax: (904) 448-8889
Website:
Map and Directions
Authorized official contact:
Name: Liedtke, Don
Phone: (615) 344-5507

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X AHCA989 Florida

Profile Details

NPI number 1942263363
LBN Legal business name Memorial Surgicare Ltd
DBA Doing business as Plaza Surgery Center
Authorized official Liedtke, Don
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 8th, 2008 - about 17 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 1942263363 NPPES
Florida MEDICAID 079198900

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