OrganizationActive
Jax Anesthesia Providers
NPI 1962587741 · Ambulatory Surgical Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1962587741
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Groover, Ceo(904) 398-7205
- License
- 2217 (FL)
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
1610 Barrs St
Jacksonville, FL 32204-4569
Phone: (904) 483-5850
Fax: (904) 483-5860
Street-level locationGet directions
Mailing address
4800 Belfort Rd
Jacksonville, FL 32256-6004
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.