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

Jeffrey L Wisnicki, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1154406080

Jeffrey L Wisnicki, MD is a Plastic and Reconstructive Surgery in Loxahatchee, Florida. Graduated from Stanford University School of Medicine in 1980, 46 years ago. Licensed in Florida.

Years since qualifying
46
Trained at
Stanford University School of Medicine
Licensed in
FL
In the registry since
2006
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

13005 Southern Blvd Ste 133 Palms West Medical Mall One
Loxahatchee, FL 33470
Phone: (561) 798-1400
Fax: (561) 798-0255
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 ME48094 (FL)

Record details

NPI number1154406080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESFebruary 20, 2013

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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