| NPI | 1447226394 |
|---|---|
| Doing Business As | JACKSONVILLE CENTER FOR ENDOSCOPY |
| Entity Type | Organization |
| Authorized Contact | JACK R GROOVER CEO 904-398-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1161) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2010-05-28 |