Healthcare Provider Details

I. General information

NPI: 1659083061
Provider Name (Legal Business Name): POINT MEADOWS SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2022
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8262 POINT MEADOWS DR STE 101
JACKSONVILLE FL
32256-4700
US

IV. Provider business mailing address

8262 POINT MEADOWS DR STE 101
JACKSONVILLE FL
32256-4700
US

V. Phone/Fax

Practice location:
  • Phone: 904-265-4320
  • Fax: 904-265-4319
Mailing address:
  • Phone: 904-265-4320
  • Fax: 904-265-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ESTHER CHRISTINE LINDEMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 904-264-0400