Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fleming Island Plastic Surgery LLC

Organization Plastic Surgery Physician · NPI 1497128953

Fleming Island Plastic Surgery LLC is a Plastic 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.

See every abbreviation used in this directory →

Practice location Address checks out

1679 Eagle Harbor Pkwy Ste C
Fleming Island, FL 32003-4815
Phone: (904) 348-0727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence ME107749 (FL)

Record details

NPI number1497128953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Delp — Delegated Official · (904) 874-7215
NPI enumeratedNovember 5, 2015
Last updated in NPPESNovember 5, 2015
Mailing address1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815