RIVERSIDE KINGSLEY ENDOSCOPY SURGICENTER LLC NPI 1013739440

NPI Information

  • NPI: 1013739440
  • Provider Name: RIVERSIDE KINGSLEY ENDOSCOPY SURGICENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 2151 RIVERSIDE AVE STE 1
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 388-8686

Map and Directions

Get Directions

NPI Details

RIVERSIDE KINGSLEY ENDOSCOPY SURGICENTER, LLC is an ambulatory surgical clinic center in Jacksonville, FL. RIVERSIDE KINGSLEY ENDOSCOPY SURGICENTER, LLC NPI is 1013739440. The provider is registered as an organization entity type.

The provider's business location address is:

2151 RIVERSIDE AVE STE 1
JACKSONVILLE, FL
ZIP 32204-416
Phone: (904) 388-8686

The provider's authorized official is William G Swinney .
The authorized official title is Vp/cfo and has the following contact phone number (972) 789-2877.

The enumeration date for this NPI number is 10/28/2024 and was last updated on 10/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.