Organization

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)

Code

207L00000X

Primary Taxonomy

Yes

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

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