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NORTH FLORIDA SURGEONS, PA
NPI 1003379975
Clinic/Center - Multi-Specialty in Fleming Island, FL

Active since April 09, 2019CLIA 10D2092470 · Waiver
1715 EAGLE HARBOR PKWY STE A, FLEMING ISLAND, FL 32003(904) 215-2422(904) 215-6122 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Florida Surgeons, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH FLORIDA SURGEONS, PA (NPI 1003379975) is a healthcare organization registered as a multi-specialty in Fleming Island, Florida and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists John P. Berlin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003379975
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNORTH FLORIDA SURGEONS, PA
Location Address1715 EAGLE HARBOR PKWY STE AFleming Island, FL 32003-4324
Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 399-1717
Phone(904) 215-2422
Fax(904) 215-6122
Organization SubpartNo
Authorized OfficialJohn P. BerlinCeo · (904) 396-1725
Enumeration DateApril 9, 2019
✔ NPI 1003379975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1715 EAGLE HARBOR PKWY STE A, Fleming Island, FL 32003
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2092470

North Florida Surgeons · Jacksonville, FL
Active · expires Mar 4, 2027
CLIA Number10D2092470
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorAmit R. Chokshi
Laboratory Phone(904) 642-2222
Laboratory LocationNorth Florida Surgeons11512 Lake Mead Ave Ste 534, Jacksonville, FL 32256
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE KAY NIZAMOFF OTR CHT
Occupational Therapist (Hand)
1715 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL 32003
Duval County (904) 215-6122
RILEY AUSTIN SCHLUB M.D.
Surgery (Plastic and Reconstructive Surgery)
1715 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL 32003
Duval County (904) 215-2422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Florida Surgeons, PA's NPI number?

The NPI number for North Florida Surgeons, PA is 1003379975. It was assigned to this organization in the NPPES registry on April 9, 2019.

Where is North Florida Surgeons, PA located?

North Florida Surgeons, PA is located at 1715 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003. The listed phone number is (904) 215-2422.

What is North Florida Surgeons, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does North Florida Surgeons, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2092470) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Florida Surgeons, PA was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.