| NPI | 1609269232 |
|---|---|
| Doing Business As | PONTE VEDRA BEACH SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KRYSTYN COLLIER Manager 904-285-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1215) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2019-07-29 |