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LEWIS J. OBI M.D. P.A. NPI 1548586894


NPI Information

NPI: 1548586894
Provider Name: LEWIS J. OBI, M.D., P.A.
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
3599 UNIVERSITY BLVD S
SUITE 604
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 399-0905
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LEWIS J. OBI, M.D., P.A. is a plastic and reconstructive surgery surgery in Jacksonville, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. LEWIS J. OBI, M.D., P.A. NPI is 1548586894. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3599 UNIVERSITY BLVD S
SUITE 604
JACKSONVILLE, FL
ZIP 32216-252
Phone: (904) 399-0905
Fax: (904) 346-0757

The provider's authorized official is Lewis John Obi .
The authorized official title is Medical Director and has the following contact phone number (904) 399-0905.

The enumeration date for this NPI number is 4/12/2010 and was last updated on 4/12/2010.


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
12086S0122XSurgeryPlastic and Reconstructive SurgeryME 12407FLORIDAYes

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
1D52972MEDICARE UPINFLORIDA

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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