NPI 1174863872

Wells Surgical Services, LLC

Organisation Surgery Physician Jacksonville, FL

Practice location

Address: 1201 Monument Rd Suite 201b, Jacksonville, FL 32225-7411
Phone: (904) 281-5878
Fax: (904) 724-9234

Authorised official

Name: Carol Patricia Bowen-Wells
Title: President
Phone: (904) 281-5878

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence ME104932 (FL)

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Registry record

NPI: 1174863872
Entity type: Organization
NPI issued: 18 Feb 2013
Record last updated: 18 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.