| NPI | 1609931229 |
|---|---|
| Doing Business As | CENTERONE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | BEVERLY J TEAGUE Administrative Clinical Director 904-652-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2012-07-03 |