# NORTH FLORIDA PLASTIC SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245580109
- **Authorized official:** DR. JOHN W TYRONE MD (PRESIDENT)
- **Authorized official phone:** (352) 332-1150

## Contact information

- **Practice address:** 108 NW 76TH DR, STE A, GAINESVILLE, FL 32607-6652
- **Practice address phone:** (352) 332-1150
- **Mailing address:** 108 NW 76TH DR, STE A, GAINESVILLE, FL 32607-6652
- **Mailing address phone:** (352) 332-1150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 4901183 | FL | Yes |

## Other

- **Enumeration date:** 09/18/2012
- **Last updated:** 09/18/2012