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

Saint Johns Plastic Surgery PLLC

Organization Plastic Surgery Physician · NPI 1770427171

Saint Johns Plastic Surgery PLLC is a Plastic Surgery Physician in Saint Augustine, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

304 Ashourian Ave Ste 107
Saint Augustine, FL 32092-5110
Phone: (281) 630-1127
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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 number1770427171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Mitchell — Member/Plastic Surgeon · (904) 657-4103
NPI enumeratedApril 16, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address304 Ashourian Ave Ste 107, Saint Augustine, FL 32092-5110

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