Jax Anesthesia Providers Llc
Anesthesiology Physician in Jacksonville, FL(View on Map)
Legal Business Name
Jax Anesthesia Providers Llc
NPI Number
1245271154
NPI Type
Organization
Enumeration Date
06/10/2006
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
4800 BELFORT RD
4800 BELFORT RD
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32256-6004
32256-6004
Country
US
US
Telephone Number
(904) 483-5850
(904) 483-5850
Authorized Official
Name
Dr. Jack Groover
Title or Position
CEO
Telephone Number
(904) 483-5850
Identifiers
Identifier
277552200
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/12/2010
Provider Address
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