Organization Active NPI

OBGYN Specialists of North Florida LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1962223610
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OBGYN SPECIALISTS OF NORTH FLORIDA LLC
Practice address
13241 Bartram Park Blvd Unit 809
Jacksonville, FL 32258-5216
Phone
(904) 800-7613
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Lina FouadNPI 1285944462
Title
MD
Phone
(904) 800-7613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

13241 Bartram Park Blvd Unit 809
Jacksonville, FL 32258-5216

Mailing address

13241 Bartram Park Blvd Unit 809
Jacksonville, FL 32258-5216

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1962223610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585216",
            "telephone_number": "904-800-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN SPECIALISTS OF NORTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "FOUAD",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "904-800-7613"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 21, 2024; 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.