OrganizationActive
The Surgery Center of Jacksonville, LLC
NPI 1124122577 · Ambulatory Surgical Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1124122577
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sandra Jones, Manager(352) 567-6502
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10475 Centurion Pkwy N
Jacksonville, FL 32256
Phone: (352) 567-6502
Street-level locationGet directions
Mailing address
13981 Paradise Ln
Dade City, FL 33525-8145
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2008-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.