COASTAL SURGERY CENTER, LLC
Ambulatory Health at Southpoint Dr, Jacksonville, FL

License number
Florida 14960580
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: SANDRA A HARMS
Title: ADMINISTRATOR
Phone: (904) 332-6774
Address
Address
4147 Southpoint Dr E, Jacksonville, FL 32216
National Provider ID: 1902832405
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COASTAL SURGERY CENTER, LLC at bizstanding.com

Coastal Surgery Center, LLC

4147 Southpoint Dr E, Jacksonville, FL 32216

Registration:
Oct 25, 2004
State ID:
L04000077462
Business type:
Florida Limited Liability
Managers:
Timothy E. Fee (Manager),William A. Wallace (Manager),Leonard J. Spillert Manager, inactive

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