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

Riverside Kingsley Endoscopy Surgicenter, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1013739440

Riverside Kingsley Endoscopy Surgicenter, LLC is an Ambulatory Surgical Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

2151 Riverside Ave Ste 1
Jacksonville, FL 32204-4416
Phone: (904) 388-8686
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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 number1013739440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David McKnight — Vp/Cfo · (972) 789-2816
Other names Riverside Endoscopy Center
NPI enumeratedOctober 28, 2024
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address2151 Riverside Ave Ste 1, Jacksonville, FL 32204-4416

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