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

Lake Mary Plastic and Cosmetic Surgery PA

Organization Plastic Surgery Physician · NPI 1023592177

Lake Mary Plastic and Cosmetic Surgery PA is a Plastic Surgery Physician in Lake Mary, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

934 Williston Park Pt Ste 1028
Lake Mary, FL 32746-2165
Phone: (407) 333-2518
Fax: (407) 333-2521
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1023592177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Shoukas — President · (904) 553-0737
NPI enumeratedSeptember 24, 2018
Last updated in NPPESSeptember 24, 2018
Mailing address934 Williston Park Pt Ste 1028, Lake Mary, FL 32746-2165

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