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

Northeast Florida Plastic Surgery

Organization Specialist · NPI 1073745634

Northeast Florida Plastic Surgery is a Specialist in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009

Practice location Address checks out

421 Kingsley Ave #200
Orange Park, FL 32073-4897
Phone: (904) 215-5800
Fax: (904) 215-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0062500 (FL)

Record details

NPI number1073745634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Weiss — President · (904) 215-5800
NPI enumeratedAugust 17, 2009
Last updated in NPPESMarch 2, 2012
Mailing address421 Kingsley Ave, 200, Orange Park, FL 32073-4897

Other providers in Orange Park