Fleming Island Plastic Surgery LLC
Fleming Island Plastic Surgery LLC is a Plastic and Reconstructive Surgery Physician in Fleming Island, Florida. Licensed in Florida. Registered with an NPI since 2015.
- Licensed in
- FL
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1715 Eagle Harbor Pkwy Ste BFleming Island, FL 32003-4324
Phone: (904) 990-3477
Fax: (904) 621-9272
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence ME107749 (FL) |
|---|
Record details
| NPI number | 1245602069 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Wallace — Manager/Owner · (904) 990-3477 |
| NPI enumerated | October 21, 2015 |
| Last updated in NPPES | September 13, 2024 |
| Certification date | September 13, 2024 |
| Mailing address | 916 Alameda Ln, Saint Johns, FL 32259-6903 |
Other providers in Fleming Island
-
Riley Austin Schlub, MD
1715 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003-4324 · (904) 215-2422
-
Dr. William Arthur Wallace Jr., MD
1679 Eagle Harbor Pkwy Ste C, Fleming Island, FL 32003-4815 · (904) 348-0727