Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacksonville Ambulatory Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1497614986

Jacksonville Ambulatory Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in St Johns, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

75 Barren Way
St Johns, FL 32259
Phone: (904) 889-0061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1497614986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Thibodeaux — Chief Administrative Officer · (904) 889-0061
NPI enumeratedJanuary 20, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address75 Barren Way, St. Johns, FL 32259

Other providers in St Johns