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NORTHEAST FLORIDA PLASTIC SURGERY
NPI 1073745634
Specialist in Orange Park, FL

Active since August 17, 2009
421 KINGSLEY AVE, #200, ORANGE PARK, FL 32073(904) 215-5800(904) 215-1211 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Florida Plastic Surgery NPPES

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

NORTHEAST FLORIDA PLASTIC SURGERY (NPI 1073745634) is a healthcare organization registered as a specialist in Orange Park, Florida and active in the NPI registry since August 2009. The organization lists Eric Andrew Weiss, President, as its authorized official.

NPPES Registry Identity

NPI1073745634
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHEAST FLORIDA PLASTIC SURGERY
Location Address421 KINGSLEY AVE, #200Orange Park, FL 32073-4897
Mailing Address421 Kingsley Ave, #200Orange Park, FL 32073-4897 · (904) 215-5800 · Fax (904) 215-1211
Phone(904) 215-5800
Fax(904) 215-1211
Organization SubpartNo
Authorized OfficialEric Andrew WeissPresident · (904) 215-5800
Enumeration DateAugust 17, 2009
Last NPPES UpdateMarch 2, 2012
✔ NPI 1073745634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0062500
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
421 KINGSLEY AVE, Orange Park, FL 32073
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Other Identifiers 2

Medicare UPINF42140FL
Medicare PIN18187AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ORANGE PARK ORTHOPAEDIC ASSOCIATES, P.A.
Orthopaedic Surgery
421 KINGSLEY AVE, SUITE 401
ORANGE PARK, FL 32073
Clay County (904) 264-9388
ERIC ANDREW WEISS M.D.
Specialist
421 KINGSLEY AVE, BLDG 200
ORANGE PARK, FL 32073
Clay County (904) 215-5800
MS. ANDREA L PIERCEY ARNP
Nurse Practitioner
421 KINGSLEY AVE, SUITE 402
ORANGE PARK, FL 32073
Clay County (904) 264-8801
PHYSICIANS GROUP SERVICES PA
Pain Medicine (Pain Medicine)
421 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 751-4906

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 Northeast Florida Plastic Surgery's NPI number?

The NPI number for Northeast Florida Plastic Surgery is 1073745634. It was assigned to this organization in the NPPES registry on August 17, 2009.

Where is Northeast Florida Plastic Surgery located?

Northeast Florida Plastic Surgery is located at 421 Kingsley Ave #200, Orange Park, FL 32073. The listed phone number is (904) 215-5800.

What is Northeast Florida Plastic Surgery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Northeast Florida Plastic Surgery was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.