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

Source Surgical Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1538595301

Source Surgical Inc is a Durable Medical Equipment & Medical Supplies in Jacksonville, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

644 Cesery Blvd Ste 315
Jacksonville, FL 32211-7165
Phone: (904) 234-3980
Fax: (904) 374-5737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1538595301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Cregut — President · (904) 234-3980
NPI enumeratedSeptember 24, 2013
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020
Mailing address644 Cesery Blvd Ste 315, Jacksonville, FL 32211-7165

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