London Obstetric and Gynecologic Services, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME0073682 Issued in FL

Legal business name

LONDON OBSTETRIC AND GYNECOLOGIC SERVICES, PA

Practice address

4114 Sunbeam Rd
Building 100, Suite 102
Jacksonville, FL 32257-8847

Phone

(904) 880-1400

Fax

(904) 886-4433

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Beverly Minolta London, M.D.

Title

President

Phone

(904) 880-1400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1265840771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 SUNBEAM RD",
            "address_2": "BUILDING 100, SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578847",
            "telephone_number": "904-880-1400",
            "fax_number": "904-886-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 SUNBEAM RD",
            "address_2": "BUILDING 100, SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578847",
            "telephone_number": "904-880-1400",
            "fax_number": "904-886-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDON OBSTETRIC AND GYNECOLOGIC SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "MINOLTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-880-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0073682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Albert Lombardo, PSY.D.
• Lomisa Inc
• Mary E Lomotan-Shaeffer, D.M.D
• Angela Lomotey
• Londi, LLC
• Jennifer Beth London, OT
• Karyn London
• Morgan Z London, LMHC
• Theresa L London, RN
• Caitlin Marie Lonergan

• Obstetrics & Gynecology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.