Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FRED JOE POWELL, M.D.
Active Sole ProprietorDR. FRED JOE POWELL, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in ST. AUGUSTINE, Florida. NPI 1609078542 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · ST. AUGUSTINE, FL
Registration Details
- NPI Number
- 1609078542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2007 (19.217488911048 yrs)
- Last Updated
- Jul 23, 2010
- License
-
ME 80996 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 NATURE WALK PARKWAYSUITE 108ST. AUGUSTINE, FL, 32092Browse FL providers · Browse ZIP 32092
- Phone
- 9042307180
- Fax
- 9042307181
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.