NPIMap

Organization Active NPI

Florida Surgical Specialty Associates LLC

  • Otolaryngology Physician
  • Jacksonville, FL
National Provider Identifier
1306314380
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
FLORIDA SURGICAL SPECIALTY ASSOCIATES LLC
Practice address
6817 Southpoint Pkwy Ste 502
Jacksonville, FL 32216-6289
Phone
(904) 595-7475
Fax
(904) 595-7480
NPI assigned
Nov 7, 2018
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Dr. Iman Naseri, MDNPI 1700060555
Title
Owner
Phone
(904) 704-4445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

6817 Southpoint Pkwy Ste 502
Jacksonville, FL 32216-6289

Mailing address

857 Old Grove MNR
Jacksonville, FL 32207-6208
Phone (904) 704-4445

Other names 1

  • Florida Surgical Specialty Associates LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1306314380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 OLD GROVE MNR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076208",
            "telephone_number": "904-704-4445",
            "fax_number": "904-595-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 502",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166289",
            "telephone_number": "904-595-7475",
            "fax_number": "904-595-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SURGICAL SPECIALTY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "NASERI",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-704-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Surgical Specialty Associates LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Florida Surgical Specialty Associates LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.