Individual provider · Type 1 NPI
Joachim W. Granzow, MD
Plastic and Reconstructive Surgery Physician · Jacksonville, FL
NPI number
1538178017
Active
Practice location
4268 Oldfield Crossing Dr Ste 303
Jacksonville, FL 32223-7899
Fax (310) 882-6260
Mailing address
10700 Beach Blvd Unit 16428
Jacksonville, FL 32245-8018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | ME85458 (FL) |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 95447 (GA) |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A67284 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
2 other providers at this address
Other plastic and reconstructive surgery physician providers in Jacksonville
- Timothy Edward Fee, MDPlastic and Reconstructive Surgery Physician Jacksonville, FL NPI 1003876251
- John Murray, MDPlastic and Reconstructive Surgery Physician Jacksonville, FL NPI 1104869510
- David N. Csikai, MDPlastic and Reconstructive Surgery Physician Jacksonville, FL NPI 1639164692
- Vaishali B. Doolabh, MDPlastic and Reconstructive Surgery Physician Jacksonville, FL NPI 1649265463
- Michael Vincent Defazio, MDPlastic and Reconstructive Surgery Physician Jacksonville, FL NPI 1821354325
- David Winton Mobley, MDPlastic and Reconstructive Surgery Physician Jacksonville, FL NPI 1861495723
- Ankit R. Desai, MDPlastic and Reconstructive Surgery Physician Jacksonville, FL NPI 1932302387
About NPI 1538178017
Joachim W. Granzow, MD's National Provider Identifier is 1538178017, issued on Aug 5, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 5, 2025.