Organization · Type 2 NPI
Fleming Island Plastic Surgery LLC
Plastic and Reconstructive Surgery Physician · Fleming Island, FL
NPI number
1245602069
Active
Practice location
1715 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4324
Fax (904) 621-9272
Mailing address
916 Alameda Ln
St. Johns, FL 32259-6903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | ME107749 (FL) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Another provider at this address
About NPI 1245602069
Fleming Island Plastic Surgery LLC's National Provider Identifier is 1245602069, issued on Oct 21, 2015. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Fleming Island, FL. The record was last updated on Sep 13, 2024.