Organization Active NPI

North Florida Surgeons, PA

  • Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1912953290
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1912953290 Issued in FL
Legal business name
NORTH FLORIDA SURGEONS, PA
Practice address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone
(904) 396-1725
Fax
(904) 396-4893
NPI assigned
May 26, 2006
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Mr. John P Berlin
Title
Ceo
Phone
(904) 396-1725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1912953290 FL Primary

Addresses

Primary practice location

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627

Mailing address

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725

Other identifiers 4

IdentifierTypeStateIssuer
40594OtherBLUE CROSS BLUE SHIELD
CB9176OtherFLRAILROAD MEDICARE
255867000MedicaidFL
300038939CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040102000629 FL Part B Supplier - Clinic/Group Practice 2769381391 Receives reassigned benefits from 377 practitioners
O20120504000341 FL DME Supplier - Physician - General Practice 2769381391 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fleming Island, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5300 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 344-1646

557 Health Blvd
Ste 100
Daytona Beach, FL 32114
Phone (317) 289-6807

1348 S 18th St
Ste 340
Fernandina Beach, FL 32034
Phone (904) 775-5957

1886 S 14th St
Fernandina Beach, FL 32034
Phone (904) 277-9677

1747 Baptist Clay Dr
Ste 240
Fleming Island, FL 32003
Phone (904) 214-8161

310 Racetrack Rd NW
Fort Walton Beach, FL 32547
Phone (850) 889-4550

1775 Lewis Turner Blvd
Ste 102
Ft Walton Bch, FL 32547
Phone (850) 864-3232

10475 Centurion Pkwy N
Ste 303
Jacksonville, FL 32256
Phone (904) 399-0350

11705 San Jose Blvd
Ste 103
Jacksonville, FL 32223
Phone (904) 880-0911

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

12574 Flagler Center Blvd
Ste 201
Jacksonville, FL 32258
Phone (904) 268-5366

1370 13th Ave S
Ste 119
Jacksonville Beach, FL 32250
Phone (904) 249-4994

1658 St Vincents Way
Ste 210
Middleburg, FL 32068
Phone (904) 214-8161

5750 Berryhill Rd
Milton, FL 32570
Phone (850) 433-6918

1555 Kingsley Ave
Ste 503
Orange Park, FL 32073
Phone (904) 278-5088

1560 Kingsley Ave
Ste 3
Orange Park, FL 32073
Phone (904) 264-2677

3 Pine Cone Dr
Ste 104
Palm Coast, FL 32137
Phone (386) 446-9590

2407 Ruth Hentz Ave
Panama City, FL 32405
Phone (850) 522-4848

10800 Panama City Beach Pkwy
Ste 300
Panama City Beach, FL 32407
Phone (850) 250-2637

3780 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 561-2020

86 Lynn Dr
Santa Rosa Beach, FL 32459
Phone (850) 267-9010

141 Mack Bayou Loop
Ste 102
Santa Rsa Bch, FL 32459
Phone (850) 267-0022

75 Jaidev Rd
Ste 200
St Johns, FL 32259
Phone (904) 880-0911

2532 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 628-7679

Practitioners & affiliated clinicians

Practitioners 413

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.

View all 413

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1912953290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231627",
            "telephone_number": "904-396-1725",
            "fax_number": "904-396-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231627",
            "telephone_number": "904-396-1725",
            "fax_number": "904-396-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA SURGEONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-396-1725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "1912953290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40594",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB9176",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255867000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300038939C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.