LEWIS J. OBI, M.D., P.A.


Address: 3599 University Blvd S, Suite 604, Jacksonville, FL 32216-4252
Phone: 9043990905

LEWIS J. OBI, M.D., P.A. (NPI# 1548586894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548586894
Entity Type Organization
Organization Name LEWIS J. OBI, M.D., P.A.
Practice Address 3599 University Blvd S
Suite 604
Jacksonville
FL 32216-4252
Practice Telephone 9043990905
Practice Fax Number 9043460757
Mailing Telephone 9043990905
Mailing Fax Number 9043460757
Enumeration Date 2010-04-12
Last Update Date 2010-04-12
Authorized Official Name DR. LEWIS JOHN OBI (MEDICAL DIRECTOR)
Authorized Official Telephone 9043990905
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
ME 12407 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 3599 UNIVERSITY BLVD S
SUITE 604
City JACKSONVILLE
State FL
Zip Code 32216-4252

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578568952 Dawn Nichelle Rosado Physical Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2005-06-14
1568061158 Azucena Crosbie Social Worker 3599 University Blvd S, Jacksonville, FL 32216-4252 2020-10-23
1033735139 Kristen Duncan Physical Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2020-06-24
1336763184 Amanda Ault Occupational Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2020-06-07
1699309989 Christina Brown Nurse Practitioner 3599 University Blvd S, Jacksonville, FL 32216-4252 2020-02-26
1396383949 Abby Maillet Physical Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2019-12-13
1760034383 Lauren Campbell Vann Physical Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2019-07-13
1740842178 Charmaine Uy Occupational Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2019-07-06
1871155317 Michael Braun Occupational Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2019-07-05
1023670775 Alys Cook Physical Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2019-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821354325 Michael Vincent Defazio Surgery 14546 Old Saint Augustine Rd Ste 407, Jacksonville, FL 32258-5473 2012-04-09
1003876251 Timothy Edward Fee Surgery 4147 Southpoint Dr E, Jacksonville, FL 32216-0996 2006-03-23
1639164692 David N Csikai Surgery 3616 Cardinal Point Dr, Jacksonville, FL 32257-5581 2005-09-15
1932302387 Ankit R Desai Surgery 14540 Old Saint Augustine Rd, Suite # 2391, Jacksonville, FL 32258-7418 2007-06-05
1649265463 Vaishali B Doolabh Surgery 6269 Beach Blvd, Suite 1, Jacksonville, FL 32216-2705 2005-09-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568025419 Reinventme, LLC Surgery 13696 N Us Highway 441 Ste 100, Lady Lake, FL 32159-6815 2019-04-17
1750854378 David Gerth Md Pa Surgery 4308 Alton Rd Ste 940, Miami Beach, FL 33140-4560 2019-01-07
1588165773 Deepak Naidu Md, Pa Surgery 201 E Kennedy Blvd Ste 410, Tampa, FL 33602-3641 2018-02-23
1194225599 Joseph Charles Gallagher Jr. Surgery 9201 Midnight Pass Rd, Sarasota, FL 34242-2921 2018-02-13
1043729569 Renee Gasgarth, M.d. P.a. Surgery 7300 Sw 62nd Pl Ste 200, South Miami, FL 33143-4800 2017-09-27
1184150625 Pamela Loftus Surgery 4454 Woodfield Blvd, Boca Raton, FL 33434-5310 2017-05-03
1356898324 Waters Edge Dermatology Global LLC Surgery 2601 S Kanner Highway, Stuart, FL 34994 2016-09-07
1629482096 Jill Swindell Surgery 1921 Waldemere St Ste 801, Sarasota, FL 34239-2913 2014-06-13
1205274784 Melanie L Aya-ay Md Plastic Surgery Pl Surgery 17523 N Dale Mabry Hwy, Lutz, FL 33548-4521 2013-06-06
1790123487 Jason Crespo Surgery 1250 Pine Ridge Rd Ste 101c, Naples, FL 34108-8913 2013-06-05
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Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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