Organization · Type 2 NPI
Jacksonville Otolaryngology & Facial Plastic Surgery
Facial Plastic Surgery Physician · Jacksonville, FL
NPI number
1306035951
Active
Practice location
836 Prudential Dr Ste 807
Jacksonville, FL 32207-8335
Fax (904) 396-9700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | ME #90519 (FL) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
About NPI 1306035951
Jacksonville Otolaryngology & Facial Plastic Surgery's National Provider Identifier is 1306035951, issued on Oct 19, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 19, 2007.