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FLORIDA UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY PA
NPI 1497885149
Obstetrics & Gynecology - Gynecology in Jacksonville, FL

Active since March 06, 2007CLIA 10D1029754 · Waiver
6885 BELFORT OAKS PL, SUITE 210, JACKSONVILLE, FL 32216(904) 652-0373(904) 652-0378 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Florida Urogynecology And Reconstructive Pelvic Surgery Pa NPPES

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

FLORIDA UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY PA (NPI 1497885149) is a healthcare organization registered as a gynecology in Jacksonville, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 22, 2026 and lists Jason R Thompson, President, as its authorized official.

NPPES Registry Identity

NPI1497885149
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameFLORIDA UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY PA
Location Address6885 BELFORT OAKS PL, SUITE 210Jacksonville, FL 32216-6234
Mailing Address6885 Belfort Oaks Pl, Suite 210Jacksonville, FL 32216-6234 · (904) 652-0373 · Fax (904) 652-0378
Phone(904) 652-0373
Fax(904) 652-0378
Organization SubpartNo
Authorized OfficialJason R ThompsonPresident · (904) 653-0373
Enumeration DateMarch 6, 2007
Last NPPES UpdateMarch 27, 2008
✔ NPI 1497885149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
6885 BELFORT OAKS PL, Jacksonville, FL 32216
Open in Google Maps ↗

Other Identifiers 1

Medicare PINK6278FL

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

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 10D1029754

Florida Urogynecology LLC · Jacksonville, FL
Active · expires Aug 22, 2026
CLIA Number10D1029754
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorJason R. Thompson
Laboratory Phone(904) 652-0373
Laboratory LocationFlorida Urogynecology LLC6885 Belfort Oaks Place - Ste 110, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MS. KAREN VONCILLE BRYANT PA-C
Physician Assistant (Medical)
6885 BELFORT OAKS PL, SUITE 210
JACKSONVILLE, FL 32216
Duval County (904) 652-0373
DR. PARESH LALCHETA MD
Internal Medicine
6885 BELFORT OAKS PL, STE 230
JACKSONVILLE, FL 32216
Duval County (904) 222-6176
MICHELLE QUINONES DEFENDINI MD
Obstetrics & Gynecology
6885 BELFORT OAKS PL, SUITE 300
JACKSONVILLE, FL 32216
Duval County (904) 296-4200

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 Florida Urogynecology And Reconstructive Pelvic Surgery PA's NPI number?

The NPI number for Florida Urogynecology And Reconstructive Pelvic Surgery PA is 1497885149. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Florida Urogynecology And Reconstructive Pelvic Surgery PA located?

Florida Urogynecology And Reconstructive Pelvic Surgery PA is located at 6885 Belfort Oaks Pl Suite 210, Jacksonville, FL 32216. The listed phone number is (904) 652-0373.

What is Florida Urogynecology And Reconstructive Pelvic Surgery PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Florida Urogynecology And Reconstructive Pelvic Surgery PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1029754) is associated with this NPI, valid through August 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Urogynecology And Reconstructive Pelvic Surgery PA was last updated on March 27, 2008. 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.