NPI | 1811546575 |
---|---|
Doing Business As | FIRST COAST SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | KASHONDRA SMITH Chief Administrative Officer 904-507-6047 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2019-09-05 |
Last Update Date | 2021-04-27 |