Northeast Florida Plastic Surgery

NPI 1073745634 - Specialist - 174400000X

NPI Details
NPI 1073745634
Enumeration Date 08/17/2009
Last Updated 03/02/2012
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ERIC ANDREW ERIC
Position PRESIDENT
Phone (904) 215-5800
Fax (904) 215-1211
Practice Location
421 KINGSLEY AVE
#200
ORANGE PARK FL, 32073-4897, US
Phone (904) 215-5800
Fax (904) 215-1211
Business Location
421 KINGSLEY AVE
#200
ORANGE PARK FL, 32073-4897, US
Phone (904) 215-5800
Fax (904) 215-1211
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME0062500
Remove 1073745634 NPI Number
 

According to our database, Northeast Florida Plastic Surgery NPI is 1073745634, taxonomy code is 174400000X and license number is ME0062500, license state is located at Florida. Northeast Florida Plastic Surgery physically located at 421 Kingsley Ave, Orange Park FL, 32073-4897. NPI Number 1033115704 has the healthcare provider type.

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1073745634 NPI number is provided on an as is basis without warranty of any kind. 1073745634 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Florida Plastic Surgery are for informational purposes only.