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NPI Code Detail

MEDICARE: JACKSONVILLE SURGICAL ASSOCIATES PA

MEDICARE: JACKSONVILLE SURGICAL ASSOCIATES PA
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
1174400000XSpecialistME85894FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2K5489OTHERFLMEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1235230020
Entity Type Code : Organization
Provider Name (Legal Business Name) : JACKSONVILLE SURGICAL ASSOCIATES PA
Provider Business Mailing Address
First Line : PO BOX 551695
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32255-1695
Country : US
Telephone Number : 904-410-3934
Fax Number : 904-503-4832
Provider Business Practice Location Address
First Line : 6817 SOUTHPOINT PKWY STE 703
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-6280
Country : US
Telephone Number : 904-410-3934
Fax Number : 904-503-4832
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT CYWES
Credential : M.D., PHD
Telephone Number : 904-410-3934
Provider Enumeration Date : 09/26/2006
Last Update Date : 11/01/2023

Similar Medicare Providers

1871563031 — DR. ROBERT CYWES M.D., PHD.
Practice Location Address:
6817 SOUTHPOINT PKWY STE 703
JACKSONVILLE, FL
32216-6280
Practice Phone: 904-410-3934
Practice Fax: 904-503-4832
1215978887 — SIVANTA J PAUL M.D.
Practice Location Address:
6817 SOUTHPOINT PKWY STE 703
JACKSONVILLE, FL
32216-6280
Practice Phone: 904-279-1666
Practice Fax: 904-279-1665
1528680220 — FLORIDA INJURY & REGENERATIVE MEDICINE, PLLC
Practice Location Address:
3033 HARTLEY RD STE 6
JACKSONVILLE, FL
32257-6280
Practice Phone: 190-448-1111
Practice Fax: 832-442-3800
1598752545 — KIRT W REPP DC
Practice Location Address:
3033 HARTLEY RD STE 6
JACKSONVILLE, FL
32257-6280
Practice Phone: 904-481-1111
Practice Fax: 832-442-3800
1144904475 — MONICA TOLBERT
Practice Location Address:
3033 HARTLEY RD STE 7
JACKSONVILLE, FL
32257-6280
Practice Phone: 904-379-0665
Practice Fax:
1295676831 — E'LOU ENTERPRISE LLC
Practice Location Address:
4150 BELFORT RD # 550826
JACKSONVILLE, FL
32216-1466
Practice Phone: 904-588-6782
Practice Fax:

Directions to “JACKSONVILLE SURGICAL ASSOCIATES PA ” Practice Location

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