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

Dr. Michael A. Fallucco, MD

Individual provider Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · NPI 1851594436

Dr. Michael A. Fallucco, MD is a Plastic and Reconstructive Surgery in Jacksonville, Florida. Graduated from Vanderbilt University School of Medicine in 2005, 21 years ago. Practices with North Florida Surgeons PA, a 336-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Trained at
Vanderbilt University School of Medicine
Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14540 Old Saint Augustine Rd Ste 2391
Jacksonville, FL 32258-7418
Phone: (904) 262-3372
Fax: (904) 262-3306
Show map & directions

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

Specialties & licences

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (primary) Taxonomy 2082S0099X · Licence ME109463 (FL)

Record details

NPI number1851594436
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2007
Last updated in NPPESApril 11, 2012
Mailing address11945 San Jose Blvd, Bldg. 300, Jacksonville, FL 32223-1627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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