OrganizationActive
Northeast Florida Plastic Surgery
NPI 1073745634 · Specialist · Orange Park, FL
Northeast Florida Plastic Surgery is a Specialist organization in Orange Park, FL (NPI 1073745634).
Provider details
- NPI number
- 1073745634
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Eric Weiss, President(904) 215-5800
- License
- ME0062500 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
421 Kingsley Ave
#200
Orange Park, FL 32073-4897
Phone: (904) 215-5800
Fax: (904) 215-1211
Street-level locationGet directions
Mailing address
421 Kingsley Ave
Orange Park, FL 32073-4897
Registry dates
- Enumerated
- 2009-08-17
- Last updated
- 2012-03-02
Frequently asked questions
- What is Northeast Florida Plastic Surgery's NPI number?
- Northeast Florida Plastic Surgery's National Provider Identifier (NPI) is 1073745634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Florida Plastic Surgery?
- Northeast Florida Plastic Surgery is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Northeast Florida Plastic Surgery located?
- Northeast Florida Plastic Surgery's practice location on file with NPPES is 421 Kingsley Ave, Orange Park, FL 32073-4897.
- What is Northeast Florida Plastic Surgery's phone number?
- The practice phone number listed in the NPPES registry for Northeast Florida Plastic Surgery is (904) 215-5800.
- Who is the authorized official for Northeast Florida Plastic Surgery?
- The authorized official listed on Northeast Florida Plastic Surgery's NPPES record is Eric Weiss, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Florida Plastic Surgery's NPI active?
- Yes — Northeast Florida Plastic Surgery's NPI (1073745634) is active in the NPPES registry as of the last update on 2012-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.