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

Granzow Medical LLP

Organization Plastic Surgery Physician · NPI 1912624263

Granzow Medical LLP is a Plastic Surgery Physician in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4268 Oldfield Crossing Dr Ste 303
Jacksonville, FL 32223-7899
Phone: (904) 325-9386
Fax: (310) 882-6260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1912624263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Ashley — Practice Manager · (904) 874-9709
NPI enumeratedOctober 26, 2022
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing addressPo Box 739471, Dallas, TX 75373-9471

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