The Plastic Surgery and Aesthetic Center of Jacksonville and Beaches

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME101653 Issued in FL

Legal business name

THE PLASTIC SURGERY AND AESTHETIC CENTER OF JACKSONVILLE AND BEACHES

Practice address

700 3Rd Street
Suite 303
Neptune Beach, FL 32266-5082

Phone

(904) 247-0148

Fax

(904) 247-0574

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Edwin Palin Jr., M.D.

Title

Owner

Phone

(904) 247-0148

Specialties & licenses 2

Addresses

Other names 1

• The Aesthetic Center of Jacksonville Doing business as

Locations

Practitioners 1

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

• Dean Deroberts, MD

  • Plastic Surgery Physician
  • Syracuse, NY
  • NPI 1396771424
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1942425681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 3RD STREET",
            "address_2": "SUITE 303",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665082",
            "telephone_number": "904-247-0148",
            "fax_number": "904-247-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 3RD STREET",
            "address_2": "SUITE 303",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665082",
            "telephone_number": "904-247-0148",
            "fax_number": "904-247-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLASTIC SURGERY AND AESTHETIC CENTER OF JACKSONVILLE AND BEACHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "PALIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-247-0148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME95604",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME101653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Aesthetic Center of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan M. Morrison LMHC PA
• Tanner Medical Enterprises, Inc
• Blaire Taylor
• Laura Michelle Taylor, PHARMD
• The Healing Playroom, PLLC
• The Right Spirit Wellness Center LLC
• The Strengths Initiative
• Therapia Inc.
• Therapia, Inc.
• Timothy John Toman, D.M.D.

• Plastic Surgery Physician in Neptune Beach, FL
• Providers in Neptune Beach, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.