NPIMap

Organization Active NPI

North Florida Surgeons, PA

  • Ophthalmology Physician
  • Ponte Vedra Beach, FL
National Provider Identifier
1942913892
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTH FLORIDA SURGEONS, PA
Practice address
190 Marketside Ave Ste B
Ponte Vedra Beach, FL 32081-1045
Phone
(904) 249-3937
Fax
(904) 990-6696
NPI assigned
Jan 5, 2023
Organization subpart
Yes
Parent organization
NORTH FLORIDA SURGEONS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

190 Marketside Ave Ste B
Ponte Vedra Beach, FL 32081-1045

Mailing address

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

Other names 1

  • North Florida Eye Surgeons, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Flordia Surgeons38 organizations share this tax ID, including this one
Part of
North Flordia Surgeons

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1942913892",
    "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": "190 MARKETSIDE AVE STE B",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320811045",
            "telephone_number": "904-249-3937",
            "fax_number": "904-990-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA SURGEONS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH FLORIDA SURGEONS, PA",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "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"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Eye Surgeons, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.