Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JACKSONVILLE COSMETIC SURGRY CENTER
Active
Organization
JACKSONVILLE COSMETIC SURGRY CENTER
Active
Other names
PLASTIC AND COSMETIC SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A.H. NEZAMI M.D. (PRESIDENT)
(904) 399-5061
Entity
Organization
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 702, JACKSONVILLE, FL 32207-8210
(904) 399-5061
(904) 399-5062
Mailing address
820 PRUDENTIAL DR, SUITE 702, JACKSONVILLE, FL 32207-8210
(904) 399-5061
(904) 399-5062
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138
OFFICE SERGERY REGISTRATI
FL
Enumeration date
08/31/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up