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General NPI Number Information
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NPI Number | 1750095535
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA SURGEONS, PA
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 6269 BEACH BLVD STE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32216-2769
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Country | US
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Telephone | 904-722-3937
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Fax | 904-722-3938
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Provider Business Mailing Address
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Address Line | 11945 SAN JOSE BLVD STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32223-1627
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Country | US
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Telephone | 904-396-1725
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Fax | 904-396-4893
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Authorized Official
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Title or Position | CEO
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Name | JOHN P. BERLIN
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Credential |
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Telephone | 904-396-1725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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