JEFFREY HOWARD WACHHOLZ M.D.
NPI 1508981689
Otolaryngology - Facial Plastic Surgery in Jacksonville, FL

Active since March 20, 2007
2700 RIVERSIDE AVE, SUITE 7, JACKSONVILLE, FL 32205(904) 389-3223(904) 388-5902 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Howard Wachholz M.d. NPPES

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

JEFFREY HOWARD WACHHOLZ M.D. (NPI 1508981689) is an individual facial plastic surgery provider in Jacksonville, Florida, licensed in Florida (ME76268) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1508981689
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameJEFFREY HOWARD WACHHOLZCredential: M.D.
Location Address2700 RIVERSIDE AVE, SUITE 7Jacksonville, FL 32205-8275
Mailing Address2700 Riverside Ave, Suite 7Jacksonville, FL 32205-8275 · (904) 389-3223 · Fax (904) 388-5902
Fax(904) 388-5902
Sole ProprietorYes
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1508981689 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 · ME76268
Definition
An otolaryngologist who specializes in facial plastic surgery.
2700 RIVERSIDE AVE, Jacksonville, FL 32205

Other Identifiers 5

Other46857FL · Blue Cross Blue Shield
Other288187Avmed
Medicare UPINH02209FL
Other7137740FL · Aetna
Medicare ID-Type Unspecified46857FL

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Radiology)
2700 RIVERSIDE AVE, SUITE 1
JACKSONVILLE, FL 32205
Physical Medicine & Rehabilitation
2700 RIVERSIDE AVE, SUITE 2
JACKSONVILLE, FL 32205

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 Jeffrey Wachholz's NPI number?

The NPI number for Jeffrey Wachholz is 1508981689. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Jeffrey Wachholz located?

Jeffrey Wachholz practices at 2700 Riverside Ave Suite 7, Jacksonville, FL 32205. The listed phone number is (904) 389-3223.

What is Jeffrey Wachholz'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 Jeffrey Wachholz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.