# NORTH FLORIDA ORAL & FACIAL SURGERY, P.A.

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

## Provider details

- **NPI number:** 1851417406
- **Authorized official:** DR. RICK CRICI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (904) 737-3617

## Contact information

- **Practice address:** 11481 OLD SAINT AUGUSTINE RD STE 203, JACKSONVILLE, FL 32258-1475
- **Practice address phone:** (904) 309-5651
- **Practice address fax:** (904) 737-8326
- **Mailing address:** 11481 OLD ST. AUGUSTINE ROAD STE. 203, JACKSONVILLE, FL 32258-1475
- **Mailing address phone:** (904) 309-5951
- **Mailing address fax:** (904) 737-8326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 01/12/2018
