JACKSONVILLE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY
NPI 1306035951
Otolaryngology - Facial Plastic Surgery in Jacksonville, FL

Q: What is Jacksonville Otolaryngology & Facial Plastic Surgery's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Active since October 19, 2007

836 PRUDENTIAL DR STE 807, JACKSONVILLE, FL 32207(904) 396-8060(904) 396-9700 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacksonville Otolaryngology & Facial Plastic Surgery NPPES

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

JACKSONVILLE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY (NPI 1306035951) is a healthcare organization registered as a facial plastic surgery in Jacksonville, Florida and active in the NPI registry since October 2007. The organization lists Juliann P Cannon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306035951

Entity TypeOrganization

Primary Taxonomy207YS0123X

Legal Business NameJACKSONVILLE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY

Location Address836 PRUDENTIAL DR STE 807Jacksonville, FL 32207-8335

Mailing Address836 Prudential Dr Ste 807Jacksonville, FL 32207-8335 · (904) 396-8060 · Fax (904) 396-9700

Phone(904) 396-8060

Fax(904) 396-9700

Organization SubpartNo

Authorized OfficialJuliann P CannonOffice Manager · (904) 396-8060

Enumeration DateOctober 19, 2007

✔ NPI 1306035951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

License✔ Licensed in FL · ME #90519

Definition

An otolaryngologist who specializes in facial plastic surgery.

836 PRUDENTIAL DR STE 807, Jacksonville, FL 32207

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Other Identifiers 1

Medicare PINK8695FL

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

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 Otolaryngology & Facial Plastic Surgery's NPI number?

The NPI number for Jacksonville Otolaryngology & Facial Plastic Surgery is 1306035951. It was assigned to this organization in the NPPES registry on October 19, 2007.

Where is Jacksonville Otolaryngology & Facial Plastic Surgery located?

Jacksonville Otolaryngology & Facial Plastic Surgery is located at 836 Prudential Dr Ste 807, Jacksonville, FL 32207. The listed phone number is (904) 396-8060.

What is Jacksonville Otolaryngology & Facial Plastic Surgery's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Jacksonville Otolaryngology & Facial Plastic Surgery was last updated on October 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.