Northeast Florida Joint Preservation and Cartilage Restoration Center

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME112470 Issued in FL

Legal business name

NORTHEAST FLORIDA JOINT PRESERVATION AND CARTILAGE RESTORATION CENTER

Practice address

9560 Crosshill Blvd
Suite 110
Jacksonville, FL 32222-5850

Phone

(904) 308-7792

NPI assigned

Dec 23, 2013

Organization subpart

No

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

Authorized official

Name

Steven Lalliss, MD

Title

Owner

Phone

(904) 308-7792

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason T Wells, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1922386739
  NPD (past)

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1457772139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65201",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320650004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 CROSSHILL BLVD",
            "address_2": "SUITE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225850",
            "telephone_number": "904-308-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FLORIDA JOINT PRESERVATION AND CARTILAGE RESTORATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "LALLISS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-308-7792",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME112470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Florida Equestrian Society/H.O.R.S.E. Therapies, Inc.
• Northeast Florida Eye Care Addociates
• Northeast Florida Eye Care Associates
• Northeast Florida Health Solution Inc.
• Northeast Florida Healthy Start Coalition, Inc.
• Northeast Florida Limb Preservation and Complex Wound Care Specialists
• Northeast Florida Medical Solutions, PLLC
• Northeast Florida Pediatric Associates, P.a.
• Northeast Florida Pediatric Associates, P.a.
• Northeast Support Coordination Services Inc

• Orthopaedic Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.