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NORTH FLORIDA REPRODUCTIVE MEDICINE LLC NPI 1205397940


NPI Information

NPI: 1205397940
Provider Name: NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 10D2043032

Address:
836 PRUDENTIAL DRIVE
SUITE 902
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 281-9887
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NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC is a reproductive endocrinology obstetrics gynecology in Jacksonville, FL. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC NPI is 1205397940. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

836 PRUDENTIAL DRIVE
SUITE 902
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 281-9887
Fax: (904) 281-9985

The provider's authorized official is Kevin Winslow .
The authorized official title is President and has the following contact phone number (904) 399-5620.

The CLIA number assigned to this NPI record is 10D2043032 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/26/2019 and was last updated on 3/26/2019.


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
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

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: 11/14/2023

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