Organization
FIRST COAST PLASTIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI KAY ROBINSON (SURGICAL COORDINATOR)
(904) 730-5052
Entity
Organization
Contact information
Practice address
3616 CARDINAL POINT DR, JACKSONVILLE, FL 32257-5581
(904) 730-5052
(904) 730-5139
Mailing address
3616 CARDINAL POINT DR, JACKSONVILLE, FL 32257-5581
(904) 730-5052
(904) 730-5139
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME78960
FL
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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