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

Jacksonville Children's Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1770620742

Jacksonville Children's Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

3599 University Blvd S Ste 604
Jacksonville, FL 32216-4234
Phone: (904) 525-8629
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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 · Licence 390 (FL)

Record details

NPI number1770620742
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devin Larsen — Ceo · (208) 340-1840
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address9709 Lakeside Blvd Ste 350, Spring, TX 77381-1213

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