JACKSONVILLE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY NPI 1306035951

NPI Information

JACKSONVILLE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY is a facial plastic surgery otolaryngology in Jacksonville, FL. The provider is an otolaryngologist who specializes in facial plastic surgery. JACKSONVILLE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY NPI is 1306035951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

836 PRUDENTIAL DR STE 807
JACKSONVILLE, FL
ZIP 32207-335
Phone: (904) 396-8060
Fax: (904) 396-9700

The provider's authorized official is Juliann P Cannon .
The authorized official title is Office Manager and has the following contact phone number (904) 396-8060.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 10/19/2007.

Taxonomy Codes

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Other Identifiers

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