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NPI Code Detail

MEDICARE: NORTH FLORIDA OTOLARYNGOLOGY ASSOCIATES PA

MEDICARE: NORTH FLORIDA OTOLARYNGOLOGY ASSOCIATES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100314OTHERFLBS GRP NUMBER

General Provider Information

NPI Number : 1184610420
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH FLORIDA OTOLARYNGOLOGY ASSOCIATES PA
Provider Business Mailing Address
First Line : 1801 BARRS ST
Second Line : SUITE 700
City : JACKSONVILLE
State : FL
Zip : 32204-4732
Country : US
Telephone Number : 904-387-3001
Fax Number : 904-389-6627
Provider Business Practice Location Address
First Line : 1801 BARRS ST
Second Line : SUITE 700
City : JACKSONVILLE
State : FL
Zip : 32204-4732
Country : US
Telephone Number : 904-387-3001
Fax Number : 904-389-6627
Authorized Official
Title or Position : OFFICE MANAGER
Name : CHERYL P LAUCKS
Credential :
Telephone Number : 904-389-6570
Provider Enumeration Date : 09/22/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1255336574 — PETER J RIGGS PA
Practice Location Address:
1801 BARRS ST , # 300
JACKSONVILLE, FL
32204-4732
Practice Phone: 904-388-1400
Practice Fax: 904-389-3205
1346235249 — GEORGE L MAYER MD
Practice Location Address:
1801 BARRS ST , SUITE 625
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Practice Fax:
1033106752 — DR. STEVEN SIEGEL MD
Practice Location Address:
2 SHIRCLIFF WAY , STE 800
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Practice Phone: 904-388-2619
Practice Fax: 904-388-0240
1942297668 — DR. JOEL STONE MD
Practice Location Address:
2 SHIRCLIFF WAY , STE 800
JACKSONVILLE, FL
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Practice Phone: 904-388-2619
Practice Fax: 904-388-0240
1851388128 — INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Practice Location Address:
2 SHIRCLIFF WAY , SUITE 800
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Practice Fax: 904-388-0240
1063409886 — SUSAN L CATTO ARNP
Practice Location Address:
2 SHIRCLIFF WAY , STE 800
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Practice Phone: 904-388-2619
Practice Fax: 904-388-0240

Directions to “NORTH FLORIDA OTOLARYNGOLOGY ASSOCIATES PA ” Practice Location

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