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Northeast Florida Plastic Surgery
Specialist in Orange Park, Florida
NPI 1073745634

Northeast Florida Plastic Surgery is a Specialist based in Orange Park, FL. Northeast Florida Plastic Surgery practices in Orange Park, FL. The NPI Number for Northeast Florida Plastic Surgery is 1073745634 and holds a License No. ME0062500 (Florida).

The current practice location address for Northeast Florida Plastic Surgery is 421 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-215-5800 and via fax at 904-215-1211.

Location: 421 Kingsley Ave, Orange Park, FL, 32073-4897
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073745634
Provider Name
Northeast Florida Plastic Surgery
Credential
Provider Entity Type
Organization
Address
421 Kingsley Ave, Orange Park, FL, 32073-4897
Phone Number
904-215-5800
Fax Number
904-215-1211
Provider Enumeration Date
08/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
421 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-4897
Phone Number
904-215-5800
Fax Number
904-215-1211
person
Provider Business Mailing Address Details
Address
421 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-4897
Phone Number
904-215-5800
Fax Number
904-215-1211
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0062500 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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