Organization
NORTH FLORIDA SURGEONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P BERLIN (CEO)
(904) 396-1725
Entity
Organization
Contact information
Practice address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Mailing address
PO BOX 14009, BELFAST, ME 04915-4031
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1912953290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255867000
—
FL
05
—
300038939C
—
GA
01
—
40594
BLUE CROSS BLUE SHIELD
—
01
—
CB9176
RAILROAD MEDICARE
FL
Enumeration date
05/26/2006
Last updated
11/24/2021
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