| North Florida Surgeons, Pa | |
|
1715 Eagle Harbor Pkwy Ste A Fleming Island FL 32003-4324 | |
| (904) 215-2422 | |
| (904) 215-6122 |
| Full Name | North Florida Surgeons, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1715 Eagle Harbor Pkwy Ste A, Fleming Island, Florida |
| Authorized Official Name and Position | John P. Berlin (CEO) |
| Authorized Official Contact | 9043961725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Surgeons, Pa 11945 San Jose Blvd Ste 300 Jacksonville FL 32223-1627 Ph: (904) 396-1725 | North Florida Surgeons, Pa 1715 Eagle Harbor Pkwy Ste A Fleming Island FL 32003-4324 Ph: (904) 215-2422 |
| NPI Number | 1003379975 |
|---|---|
| Provider Enumeration Date | 04/09/2019 |
| Last Update Date | 04/09/2019 |
| Medicare PECOS PAC ID | 2769381391 |
|---|---|
| Medicare Enrollment ID | O20120504000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003379975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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