SRC1 Fl LLC
SRC1 Fl LLC provides Medical Specialty Clinic/Center services in Jacksonville, 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.
Practice location Address checks out
11915 Beach Blvd Ste 116Jacksonville, FL 32246-6707
Phone: (904) 481-5090
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
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|
Record details
| NPI number | 1689585820 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steve Freant — Managing Member · (407) 712-3252 |
| Other names | Summit Rejuvenation Center |
| NPI enumerated | September 16, 2026 |
| Last updated in NPPES | September 16, 2026 |
| Certification date | September 16, 2026 |
| Mailing address | 11915 Beach Blvd Ste 116, Jacksonville, FL 32246-6707 |
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