Lakeside Dental Surgery Center LLC
Lakeside Dental Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9143 Philips Hwy Ste 515Jacksonville, FL 32256-1348
Phone: (904) 395-7772
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1598483414 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrew Weaver — Practice Administrator · (904) 395-7772 |
| NPI enumerated | August 16, 2022 |
| Last updated in NPPES | November 5, 2024 |
| Certification date | November 5, 2024 |
| Mailing address | 3020 Hartley Rd Ste 210, Jacksonville, FL 32257-8206 |
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