Northeast Florida Plastic Surgery

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0062500 Issued in FL

Legal business name

NORTHEAST FLORIDA PLASTIC SURGERY

Practice address

421 Kingsley Ave
#200
Orange Park, FL 32073-4897

Phone

(904) 215-5800

Fax

(904) 215-1211

NPI assigned

Aug 17, 2009

Last updated

Mar 2, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric Andrew Weiss, MDNPI 1700961018

Title

President

Phone

(904) 215-5800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Andrew Weiss, M.D.

  • Specialist
  • Orange Park, FL
  • NPI 1700961018
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1073745634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 KINGSLEY AVE",
            "address_2": "#200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734897",
            "telephone_number": "904-215-5800",
            "fax_number": "904-215-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 KINGSLEY AVE",
            "address_2": "#200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734897",
            "telephone_number": "904-215-5800",
            "fax_number": "904-215-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FLORIDA PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-215-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0062500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Florida Medical Transportation Inc
• North Florida Physical Medicine, Inc.
• North Florida Therapy Associates, LLC
• Northeast Floida State Hospital
• Northeast Florida Eye Care Associates
• Northeast Florida Primary Care Clinic
• Northeast Florida Residential Care Facility Inc
• Northland Hearing Centers, Inc. (US Hearing Centers)
• Ena Novakovic, MD
• NP Strategic Solutions LLC

• Specialist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.