| NPI | 1538609011 |
|---|---|
| Doing Business As | JACKSONVILLE CENTER FOR ENDOSCOPY - SOUTHSIDE |
| Entity Type | Organization |
| Authorized Contact | JENETHA D MORAN Authorized Official 972-763-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2018-09-12 |