NORTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA NPI 1316907926

NPI Information

NPI: 1316907926
Provider Name: NORTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 10D2229774

Address:
11437 CENTRAL PKWY
SUITE 105
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 472-2300
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NORTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA is an obstetrics gynecology in Jacksonville, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NORTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA NPI is 1316907926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11437 CENTRAL PKWY
SUITE 105
JACKSONVILLE, FL
ZIP 32224-706
Phone: (904) 472-2300
Fax: (904) 472-2330

The provider's authorized official is C. Cameron Greene .
The authorized official title is President and has the following contact phone number (904) 472-2300.

The CLIA number assigned to this NPI record is 10D2229774 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 4/6/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	370581100	MEDICAID	FLORIDA
2	370581107	MEDICAID	FLORIDA
3	370581119	MEDICAID	FLORIDA
4	370581112	MEDICAID	FLORIDA
5	370581115	MEDICAID	FLORIDA
6	370581118	MEDICAID	FLORIDA
7	370581123	MEDICAID	FLORIDA
8	370581128	MEDICAID	FLORIDA
9	370581129	MEDICAID	FLORIDA
10	370581102	MEDICAID	FLORIDA
11	370581113	MEDICAID	FLORIDA
12	370581114	MEDICAID	FLORIDA
13	370581121	MEDICAID	FLORIDA
14	370581104	MEDICAID	FLORIDA
15	370581120	MEDICAID	FLORIDA
16	370581101	MEDICAID	FLORIDA
17	370581103	MEDICAID	FLORIDA
18	370581105	MEDICAID	FLORIDA
19	370581108	MEDICAID	FLORIDA
20	370581125	MEDICAID	FLORIDA
21	370581109	MEDICAID	FLORIDA
22	370581110	MEDICAID	FLORIDA
23	370581117	MEDICAID	FLORIDA
24	370581126	MEDICAID	FLORIDA
25	370581106	MEDICAID	FLORIDA
26	370581116	MEDICAID	FLORIDA

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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