1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Clinic Center
  6. NPI Profile

JACKSONVILLE COSMETIC SURGRY CENTER
NPI 1174635148
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

Active since August 31, 2006
820 PRUDENTIAL DR, SUITE 702, JACKSONVILLE, FL 32207(904) 399-5061(904) 399-5062 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Cosmetic Surgry Center NPPES

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

JACKSONVILLE COSMETIC SURGRY CENTER (NPI 1174635148), doing business as Plastic And Cosmetic Surgery Center, is a healthcare organization registered as an ambulatory surgical in Jacksonville, Florida and active in the NPI registry since August 2006. The organization lists A.h. Nezami, President, as its authorized official.

NPPES Registry Identity

NPI1174635148
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameJACKSONVILLE COSMETIC SURGRY CENTER
Location Address820 PRUDENTIAL DR, SUITE 702Jacksonville, FL 32207-8210
Mailing Address820 Prudential Dr, Suite 702Jacksonville, FL 32207-8210 · (904) 399-5061 · Fax (904) 399-5062
Phone(904) 399-5061
Fax(904) 399-5062
Organization SubpartNo
Authorized OfficialA.h. NezamiPresident · (904) 399-5061
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174635148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
820 PRUDENTIAL DR, Jacksonville, FL 32207
Open in Google Maps ↗

Other Names 1

Former Legal Business NamePlastic And Cosmetic Surgery Center

Other Identifiers 1

Other138FL · Office Sergery Registrati

Other Providers at the Same Location NPPES 20

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

DR. MOHAMAD ALASAD TOLAYMAT M.D.
Pediatrics (Pediatric Nephrology)
820 PRUDENTIAL DR, UFJP PEDIATRIC MULTI-SPECIALTY CLINIC
JACKSONVILLE, FL 32207
Duval County (904) 633-0920
SARAH VICTORIA BRINKLEY RN
Registered Nurse
820 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (814) 591-8074
DR. RYAN BENJAMIN BRENES D.O.
Family Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Duval County (306) 619-5517
M. ELIZABETH B PERRY M.D.
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Duval County (904) 398-3356
ERIN BECKETT ARNP
Nurse Practitioner (Neonatal)
820 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (575) 491-4958
PETER J CLAGNAZ MD
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR, SUITE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DR. FRANCISCO JAVIER GUTIERREZ D.O.
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
JANICE RIDDELL ABDELNOUR R.D, C.D.E.
Dietitian, Registered
820 PRUDENTIAL DR, SUITE 416
JACKSONVILLE, FL 32207
Duval County (904) 202-2140

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 Jacksonville Cosmetic Surgry Center's NPI number?

The NPI number for Jacksonville Cosmetic Surgry Center is 1174635148. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider was formerly known as Plastic And Cosmetic Surgery Center.

Where is Jacksonville Cosmetic Surgry Center located?

Jacksonville Cosmetic Surgry Center is located at 820 Prudential Dr Suite 702, Jacksonville, FL 32207. The listed phone number is (904) 399-5061.

What is Jacksonville Cosmetic Surgry Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Jacksonville Cosmetic Surgry Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.