Jeffrey Howard Wachholz in Jacksonville - Facial Plastic Surgery
Jeffrey Howard Wachholz - NPI 1508981689
Jeffrey Howard Wachholz is a Facial Plastic Surgery in Jacksonville, Florida. Jeffrey Howard Wachholz practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Jeffrey Howard Wachholz is 1508981689. The last update date is 2007-07-08.
Jeffrey Howard Wachholz's current location address is 2700 Riverside Ave, Jacksonville, Florida. You can contact this provider via phone number 9043893223 and fax number 9043885902. The mailing address for Jeffrey Howard Wachholz is 2700 Riverside Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Howard Wachholz |
|---|---|
| Address | 2700 Riverside Ave, Jacksonville, Florida |
| Phone Number | 9043893223 |
| Fax Number | 9043885902 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508981689 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2700 Riverside Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322058275 |
| Phone Number | 9043893223 |
| Fax Number | 9043885902 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | ME76268 |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 288187 | AVMED | ||
| 46857 | FL | BLUE CROSS BLUE SHIELD | |
| 7137740 | FL | AETNA |
Post Comment/ Review Below
What is the Jeffrey Howard Wachholz's 1508981689?
The Jeffrey Howard Wachholz's NPI (National Provider Identifier) Number is 1508981689. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jeffrey Howard Wachholz's facilities are situated?
The facilities of Jeffrey Howard Wachholz are physically located at the following address: 2700 Riverside Ave, Jacksonville, FL, 322058275.
What is the area of specialization for Jeffrey Howard Wachholz, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeffrey Howard Wachholz is Facial Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Ys0123X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508981689 to Jeffrey Howard Wachholz?
The Centers for Medicare & Medicaid Services assigned the 1508981689 to Jeffrey Howard Wachholz on 2007-03-20.
When was the information regarding Jeffrey Howard Wachholz most recently updated?
The details pertaining to the Jeffrey Howard Wachholz, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.