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

Surgcenter of Greater Jacksonville, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1104485440

Surgcenter of Greater Jacksonville, LLC is an Ambulatory Surgical Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

9143 Philips Hwy Ste 500
Jacksonville, FL 32256-1335
Phone: (904) 233-0597
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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 number1104485440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Collin Lemaistre — Market President · (214) 213-0723
NPI enumeratedJune 11, 2019
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address14201 Dallas Pkwy, Dallas, TX 75254-2916

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