NPI | 1053059220 |
---|---|
Doing Business As | CENTURION SURGERY CENTER OF JACKSONVILLE |
Entity Type | Organization |
Authorized Contact | ALICIA GROTH Credentialing Manager 904-256-2754 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2022-05-26 |
Last Update Date | 2024-01-02 |