NPIMap

Organization Active NPI

The Plastic Surgery and Aesthetic Center of Jacksonville and Beaches

Doing business as The Aesthetic Center of Jacksonville

  • Plastic Surgery Physician
  • Neptune Beach, FL
National Provider Identifier
1942425681
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
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
Doing business as
The Aesthetic Center of Jacksonville
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
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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.NPI 1033227707
Title
Owner
Phone
(904) 247-0148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X ME95604 FL
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X ME101653 FL Primary

Addresses

Primary practice location

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

Mailing address

700 3Rd Street
Suite 303
Neptune Beach, FL 32266-5082
Phone (904) 247-0148

Other names 1

  • The Aesthetic Center of Jacksonville Doing business as

National Provider Directory

National Provider Directory

Locations

700 3rd St
Ste 303
Neptune Beach, FL 32266
Phone (904) 247-0148

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Neptune Beach, FL

Sources for this page

  • 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.