NORTH FLORIDA REPRODUCTIVE MEDICINE LLC NPI 1205397940

NPI Information

  • NPI: 1205397940
  • Provider Name: NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Organization
  • CLIA Number: 10D2040563
  • Address: 836 PRUDENTIAL DRIVE
    SUITE 902
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 281-9887

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NPI Details

NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC is a reproductive endocrinology obstetrics gynecology in Jacksonville, FL. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC NPI is 1205397940. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

836 PRUDENTIAL DRIVE
SUITE 902
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 281-9887
Fax: (904) 281-9985

The provider's authorized official is Kevin Winslow .
The authorized official title is President and has the following contact phone number (904) 399-5620.

The CLIA number assigned to this NPI record is 10D2040563 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2019 and was last updated on 3/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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