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

Dr. Fred Joe Powell, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1609078542

Dr. Fred Joe Powell, MD is a Plastic and Reconstructive Surgery Physician in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

111 Nature Walk Pkwy Ste 108
St Augustine, FL 32092
Phone: (904) 230-7180
Fax: (904) 230-7181
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 · Licence ME 80996 (FL)

Record details

NPI number1609078542
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 4, 2007
Last updated in NPPESJuly 23, 2010
Mailing address111 Nature Walk Parkway, Suite 108, St. Augustine, FL 32092