Jacksonville Cosmetic Surgry Center in Jacksonville - Ambulatory Surgical
Jacksonville Cosmetic Surgry Center - NPI 1174635148
Jacksonville Cosmetic Surgry Center is a Ambulatory Surgical in Jacksonville, Florida. Jacksonville Cosmetic Surgry Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Jacksonville Cosmetic Surgry Center is 1174635148. The last update date is 2020-08-22.
Jacksonville Cosmetic Surgry Center's current location address is 820 Prudential Dr, Jacksonville, Florida. You can contact this provider via phone number 9043995061 and fax number 9043995062. The mailing address for Jacksonville Cosmetic Surgry Center is 820 Prudential Dr, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacksonville Cosmetic Surgry Center |
|---|---|
| Address | 820 Prudential Dr, Jacksonville, Florida |
| Phone Number | 9043995061 |
| Fax Number | 9043995062 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Nezami A.H. |
| Credentials | M.D. |
| Telephone Number | 9043995061 |
NPI Number Detail
| NPI Number | 1174635148 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 820 Prudential Dr |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078210 |
| Phone Number | 9043995061 |
| Fax Number | 9043995062 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 138 | FL | OFFICE SERGERY REGISTRATI |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacksonville Cosmetic Surgry Center by the Centers for Medicare & Medicaid Services?
The Jacksonville Cosmetic Surgry Center has been issued the NPI (National Provider Identifier) 1174635148 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jacksonville Cosmetic Surgry Center located?
The Jacksonville Cosmetic Surgry Center is located at 820 Prudential Dr, Jacksonville, FL 322078210.
What is Jacksonville Cosmetic Surgry Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacksonville Cosmetic Surgry Center's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.
When did Jacksonville Cosmetic Surgry Center receive its 1174635148 assignment?
The Jacksonville Cosmetic Surgry Center was assigned its 1174635148 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jacksonville Cosmetic Surgry Center most recently updated or revised?
The information pertaining to Jacksonville Cosmetic Surgry Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY