North Florida Otolaryngology Associates PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NORTH FLORIDA OTOLARYNGOLOGY ASSOCIATES PA

Practice address

1801 Barrs St
Suite 700
Jacksonville, FL 32204-4732

Phone

(904) 387-3001

Fax

(904) 389-6627

NPI assigned

Sep 22, 2005

Last updated

Aug 22, 2020By 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

Cheryl P Laucks

Title

Office Manager

Phone

(904) 389-6570

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184610420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BARRS ST",
            "address_2": "SUITE 700",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044732",
            "telephone_number": "904-387-3001",
            "fax_number": "904-389-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BARRS ST",
            "address_2": "SUITE 700",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044732",
            "telephone_number": "904-387-3001",
            "fax_number": "904-389-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA OTOLARYNGOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUCKS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-389-6570"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS GRP NUMBER",
            "identifier": "00314",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Jacksonville, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.