MEDICARE: WESTSIDE SURGERY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	AHCA895	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215990627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTSIDE SURGERY CENTER LLC

Provider Business Mailing Address
First Line	:	2731 PARK ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-7607
Country	:	US
Telephone Number	:	904-389-1077
Fax Number	:	904-338-9016

Provider Business Practice Location Address
First Line	:	2731 PARK ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-7607
Country	:	US
Telephone Number	:	904-389-1077
Fax Number	:	904-338-9016

Authorized Official
Title or Position	:	VP
Name	:	WILLIAM GREGORY SWINNEY
Credential	:
Telephone Number	:	972-789-2877

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	01/25/2023

Similar Medicare Providers

1285973842 — CAREMAX PHARMACY LLC
Practice Location Address:

2789 PARK ST
JACKSONVILLE, FL
32205-7607

Practice Phone: 904-551-9026
Practice Fax: 904-758-3519

1003418948 — CAREMAX PHARMACY LLC
Practice Location Address:

2789 PARK ST STE B
JACKSONVILLE, FL
32205-7607

Practice Phone: 904-551-9026
Practice Fax: 904-758-3519

1609824671 — BARBARA A. WELLS CRNA
Practice Location Address:

2731 PARK ST , #240
JACKSONVILLE, FL
32205-7607

Practice Phone: 904-389-1077
Practice Fax:

1467467688 — WALGREEN CO
Practice Location Address:

2703 PARK ST
JACKSONVILLE, FL
32205-7607

Practice Phone: 904-384-8929
Practice Fax:

1306166210 — DR. VERONICA ELIZABETH CREVECOEUR PHARMD
Practice Location Address:

2703 PARK ST
JACKSONVILLE, FL
32205-7607

Practice Phone: 904-384-8929
Practice Fax: 904-384-3529

1740565878 — MR. JABARI KWASI JONES PHARMD
Practice Location Address:

2703 PARK ST
JACKSONVILLE, FL
32205-7607

Practice Phone: 904-384-8929
Practice Fax: 904-384-3529

Directions to “WESTSIDE SURGERY CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.