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

NPI Status: Active since April 09, 2019

Contact Information

1715 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL
ZIP 32003
Phone: (904) 215-2422
Fax: (904) 215-6122

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 10D2092470
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-04-2027

About NORTH FLORIDA SURGEONS, PA

This page provides the complete NPI Profile along with additional information for North Florida Surgeons, Pa, a provider established in Fleming Island, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1003379975 assigned on April 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is John P. Berlin (Ceo)

NPI
1003379975
Provider Name
NORTH FLORIDA SURGEONS, PA
Entity Type
Organization
Location Address
1715 EAGLE HARBOR PKWY STE A FLEMING ISLAND, FL 32003
Location Phone
(904) 215-2422
Location Fax
(904) 215-6122
Mailing Address
11945 SAN JOSE BLVD STE 300 JACKSONVILLE, FL 32223
Mailing Phone
(904) 396-1725
Mailing Fax
(904) 215-6122
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2019
Last Update Date
04-09-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN P. BERLIN

Authorized Official Title
CEO
Authorized Official Phone
(904) 396-1725

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2092470
Facility Type
Physician Office
Certificate Effective Date
March 05, 2025
Certificate Expiration Date
March 04, 2027
Laboratory Director
AMIT R. CHOKSHI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Florida Surgeons, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003379975, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 6 + 7 + 1 + 8 + 9 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1003379975.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Occupational Therapist (Hand)
1715 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL 32003
Surgery (Plastic and Reconstructive Surgery)
1715 EAGLE HARBOR PKWY STE A
FLEMING ISLAND, FL 32003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003379975, enumerated as an "organization" on April 09, 2019.

The provider is located at 1715 EAGLE HARBOR PKWY STE A FLEMING ISLAND, FL 32003 and the phone number is (904) 215-2422.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.