Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Neptune Beach Surgical Specialists LLC

Organization Surgery Physician · NPI 1568900306

Neptune Beach Surgical Specialists LLC is a Surgery Physician in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (973) 251-1132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Trauma Surgery Physician Taxonomy 2086S0127X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1568900306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (317) 614-9871
NPI enumeratedFebruary 1, 2017
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address5565 Centerview Dr Ste 107, Raleigh, NC 27606-3563

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