First Coast Plastic Surgery PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME78960 Issued in FL

Legal business name

FIRST COAST PLASTIC SURGERY PA

Practice address

3616 Cardinal Point Dr
Jacksonville, FL 32257-5581

Phone

(904) 730-5052

Fax

(904) 730-5139

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Lori Kay Robinson

Title

Surgical Coordinator

Phone

(904) 730-5052

Specialties & licenses 1

Addresses

Practitioners 2

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

• David N Csikai, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Jacksonville, FL
  • NPI 1639164692
  NPD (past)
• Olivia Reid Jose, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1164278537
  NPD (past)

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1821398066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575581",
            "telephone_number": "904-730-5052",
            "fax_number": "904-730-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575581",
            "telephone_number": "904-730-5052",
            "fax_number": "904-730-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SURGICAL COORDINATOR",
        "authorized_official_telephone_number": "904-730-5052"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Coast Orthopedic Associates LLC
• First Coast Orthopedic Center, LLC
• First Coast Pathology Associates, LLC
• First Coast Periodontics, PA
• First Coast Physical Medicine Inc
• First Coast Podiatric Surgery and Wound Care LLC
• First Coast Podiatry, P a
• First Coast Primary Care Inc
• First Coast Retina Center PA
• First Coast Speech Services, LLC

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.