ST NICHOLAS AMBULATORY SURGICAL CENTER PA

JACKSONVILLE, FL
NPI1194154161
Entity TypeOrganization
Authorized ContactRENE U PULIDO
President
904-647-8576
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2013-11-11
Last Update Date2013-11-11
Business Address
ST NICHOLAS AMBULATORY SURGICAL CENTER PA
2570 ATLANTIC BLVD
JACKSONVILLE, FL 32207-3604
Phone number: 904-647-8576
Mailing Address
ST NICHOLAS AMBULATORY SURGICAL CENTER PA
2624 ATLANTIC BLVD
JACKSONVILLE, FL 32207-3668
Phone number: 904-647-8576
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