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NORTH FLORIDA FACIAL PLASTIC SURGERY LLC NPI 1558746644


NPI Information

NPI: 1558746644
Provider Name: NORTH FLORIDA FACIAL PLASTIC SURGERY LLC
Classification: Plastic Surgery - 2082S0099X
Entity Type: Organization

Specialization: Plastic Surgery Within the Head and Neck

Address:
7807 BAYMEADOWS RD E
SUITE 303
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 247-8522
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NORTH FLORIDA FACIAL PLASTIC SURGERY LLC is a plastic surgery within the head and neck plastic surgery in Jacksonville, FL. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. NORTH FLORIDA FACIAL PLASTIC SURGERY LLC NPI is 1558746644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7807 BAYMEADOWS RD E
SUITE 303
JACKSONVILLE, FL
ZIP 32256-664
Phone: (904) 247-8522
Fax: (904) 247-9722

The provider's authorized official is Juan F. Garcia .
The authorized official title is Owner and has the following contact phone number (904) 247-8522.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 7/30/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckME77632FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
151049XOTHERMEDICARE PTAN

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: 4/28/2024

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