JAX ANESTHESIA PROVIDERS NPI 1962587741

NPI Information

  • NPI: 1962587741
  • Provider Name: JAX ANESTHESIA PROVIDERS
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1610 BARRS ST
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 483-5850

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NPI Details

JAX ANESTHESIA PROVIDERS is an ambulatory surgical clinic center in Jacksonville, FL. JAX ANESTHESIA PROVIDERS NPI is 1962587741. The provider is registered as an organization entity type.

The provider's business location address is:

1610 BARRS ST
JACKSONVILLE, FL
ZIP 32204-569
Phone: (904) 483-5850
Fax: (904) 483-5860

The provider's authorized official is Jack R Groover .
The authorized official title is Ceo and has the following contact phone number (904) 398-7205.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/22/2020.

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 Surgical2217FLORIDAYes

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: 3/30/2025

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