Active NPI
OBGYN Specialists of North Florida LLC
- Obstetrics & Gynecology Physician
- Jacksonville, FL
National Provider Identifier
1962223610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lina Fouad
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryPractitioners & 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.