NPI | 1962499079 |
---|---|
Doing Business As | MAYO CLINIC JACKSONVILLE ASC FOR G.I. |
Entity Type | Organization |
Authorized Contact | ALICE RIGDON Chief Financial Officer 904-953-0577 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 872) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2023-03-30 |