Organization Active NPI

Sherri Lee Maetozo MD PA

  • Obstetrics & Gynecology Physician
  • St Augustine, FL
National Provider Identifier
1710206925
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0056926 Issued in FL
Legal business name
SHERRI LEE MAETOZO MD PA
Practice address
1301 Plantation Island Drive
Ste 103
St Augustine, FL 32080-3109
Phone
(904) 461-5330
Fax
(904) 461-5334
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Sherri Lee Maetozo, MD
Title
Ceo Medical Doctor
Phone
(904) 461-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME0056926 FL Primary

Addresses

Primary practice location

1301 Plantation Island Drive
Ste 103
St Augustine, FL 32080-3109

Mailing address

1301 Plantation Island Drive
Ste 103
St Augustine, FL 32080-3109
Phone (904) 461-5330

National Provider Directory

National Provider Directory

Locations

1301 Plantation Island Dr S
Ste 103
Saint Augustine, FL 32080
Phone (904) 461-5330

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1710206925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DRIVE",
            "address_2": "STE 103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803109",
            "telephone_number": "904-461-5330",
            "fax_number": "904-461-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DRIVE",
            "address_2": "STE 103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803109",
            "telephone_number": "904-461-5330",
            "fax_number": "904-461-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRI LEE MAETOZO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "MAETOZO",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO MEDICAL DOCTOR",
        "authorized_official_telephone_number": "904-461-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0056926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.