Organization
N.F.L. CENTER FOR OTO-HNS FACIAL PLASTIC SURGERY P.A.
Active
Organization
N.F.L. CENTER FOR OTO-HNS FACIAL PLASTIC SURGERY P.A.
Active
Other names
North Florida Center for Otolaryngology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR CORT TALIAFERRO MD (OWNER)
(904) 823-8823
Entity
Organization
Contact information
Practice address
3 SAN BARTOLA DR, ST AUGUSTINE, FL 32086-5767
(904) 823-8823
(904) 808-1505
Mailing address
3 SAN BARTOLA DR, ST AUGUSTINE, FL 32086-5767
(904) 823-8823
(904) 808-1505
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YX0901X
Otology & Neurotology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274492900
—
FL
05
—
274492901
—
FL
05
—
274492902
—
FL
01
—
DD8481
RAILROAD MEDICARE
FL
Enumeration date
07/10/2006
Last updated
07/03/2012
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