| NPI | 1366982845 |
|---|---|
| Doing Business As | JACKSONVILLE CENTER FOR ENDOSCOPY |
| Entity Type | Organization |
| Authorized Contact | JENETHA D MORAN Authorized Official 972-763-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1092) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2018-11-09 |