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

White Sands Medical Group

Organization Plastic and Reconstructive Surgery Physician · NPI 1801676531

White Sands Medical Group is a Plastic and Reconstructive Surgery Physician in Lynn Haven, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1702 Ohio Ave
Lynn Haven, FL 32444-4290
Phone: (850) 647-8825
Fax: (850) 248-8825
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1801676531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farid Mozaffari — President · (850) 647-8825
Other names Plastic Surgery Institute & Spa
NPI enumeratedOctober 2, 2023
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025
Mailing address1702 Ohio Ave, Lynn Haven, FL 32444-4290

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