Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL VINCENT DEFAZIO, MD
ActiveMICHAEL VINCENT DEFAZIO, MD is a Plastic and Reconstructive Surgery healthcare provider located in JACKSONVILLE, Florida. NPI 1821354325 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1821354325
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2012 (14.358298962169 yrs)
- Last Updated
- Aug 1, 2019
- License
-
R6770 (TX)
Practice Information
- Address
-
14546 OLD SAINT AUGUSTINE RD STE 407JACKSONVILLE, FL, 322585473Browse FL providers · Browse ZIP 32258
- Phone
- 9042623372
- Fax
- 9042623306
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID WINTON MOBLEY | M.D. | 1861495723 |
| DR. DAVID N CSIKAI | M.D. | 1639164692 |
| VAISHALI B DOOLABH | MD | 1649265463 |
| TIMOTHY EDWARD FEE | M.D. | 1003876251 |
| JOHN MURRAY | M.D. | 1104869510 |
| JOACHIM W GRANZOW | M.D. | 1538178017 |
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.