NPIMap

Organization Active NPI

George E Platt MD

  • Non-Pharmacy Dispensing Site
  • Green Cove Springs, FL
National Provider Identifier
1700820552
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME54692 Issued in FL
Legal business name
GEORGE E PLATT MD
Practice address
705 Ferris St
Green Cove Springs, FL 32043-4025
Phone
(904) 284-4510
Fax
(904) 284-3293
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Jeff Bogan
Title
President
Phone
(904) 962-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME54692 FL Primary

Addresses

Primary practice location

705 Ferris St
Green Cove Springs, FL 32043-4025

Mailing address

PO Box 10890
Jacksonville, FL 32247-0890

Other identifiers 2

IdentifierTypeStateIssuer
1015482OtherOTHER ID NUMBER
1015482OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Donald Geldart MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1700820552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10890",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322470890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 FERRIS ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434025",
            "telephone_number": "904-284-4510",
            "fax_number": "904-284-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E PLATT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-962-2123"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME54692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1015482",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1015482",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Cove Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.