Jacksonville Otolaryngology & Facial Plastic Surgery in Jacksonville - Facial Plastic Surgery

Jacksonville Otolaryngology & Facial Plastic Surgery - NPI 1306035951

Jacksonville Otolaryngology & Facial Plastic Surgery is a Facial Plastic Surgery in Jacksonville, Florida. Jacksonville Otolaryngology & Facial Plastic Surgery practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Jacksonville Otolaryngology & Facial Plastic Surgery is 1306035951. The last update date is 2007-10-19.

Jacksonville Otolaryngology & Facial Plastic Surgery's current location address is 836 Prudential Dr Ste 807, Jacksonville, Florida. You can contact this provider via phone number 9043968060 and fax number 9043969700. The mailing address for Jacksonville Otolaryngology & Facial Plastic Surgery is 836 Prudential Dr Ste 807, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jacksonville Otolaryngology & Facial Plastic Surgery
Address 836 Prudential Dr Ste 807, Jacksonville, Florida
Phone Number 9043968060
Fax Number 9043969700
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Cannon P Juliann
Telephone Number 9043968060

NPI Number Detail

NPI Number 1306035951
Provider Enumeration Date 2007-10-19
Last Updated Date 2007-10-19

Provider Mailing Address Detail

Address 836 Prudential Dr Ste 807
City Jacksonville
State Florida (FL)
Post Code 322078335
Phone Number 9043968060
Fax Number 9043969700

Provider's Primary Taxonomy Detail

Speciality Facial Plastic Surgery
Taxonomy 207Ys0123X
Licence No ME #90519
Definition:
An otolaryngologist who specializes in facial plastic surgery.

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FAQs about Jacksonville Otolaryngology & Facial Plastic Surgery

What is the unique 10-digit identifier code assigned to Jacksonville Otolaryngology & Facial Plastic Surgery by the Centers for Medicare & Medicaid Services?

The Jacksonville Otolaryngology & Facial Plastic Surgery has been issued the NPI (National Provider Identifier) 1306035951 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jacksonville Otolaryngology & Facial Plastic Surgery is geographically located?

The Jacksonville Otolaryngology & Facial Plastic Surgery is physically situated at the following location: 836 Prudential Dr Ste 807, Jacksonville, FL, 322078335.

What is the area of specialization for Jacksonville Otolaryngology & Facial Plastic Surgery, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jacksonville Otolaryngology & Facial Plastic Surgery is Facial Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Ys0123X.

On what date did the Jacksonville Otolaryngology & Facial Plastic Surgery receive its 1306035951 assignment from the Centers for Medicare & Medicaid Services?

The Jacksonville Otolaryngology & Facial Plastic Surgery was assigned its 1306035951 by the Centers for Medicare & Medicaid Services on 2007-10-19.

When was the information pertaining to Jacksonville Otolaryngology & Facial Plastic Surgery most recently updated or revised?

The details related to Jacksonville Otolaryngology & Facial Plastic Surgery, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-19.

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