FLEMING ISLAND PLASTIC SURGERY LLC NPI 1497128953

NPI Details

FLEMING ISLAND PLASTIC SURGERY LLC is a plastic surgery in Fleming Island, FL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. FLEMING ISLAND PLASTIC SURGERY LLC NPI is 1497128953. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1679 EAGLE HARBOR PKWY
SUITE C
FLEMING ISLAND, FL
ZIP 32003-815
Phone: (904) 348-0727

The provider's authorized official is Shannon Delp .
The authorized official title is Delegated Official and has the following contact phone number (904) 874-7215.

The CLIA number assigned to this NPI record is 10D1101477 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/5/2015.

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: