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

Michael Vincent Defazio, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1821354325

Michael Vincent Defazio, MD is a Plastic and Reconstructive Surgery in Jacksonville, Florida. Graduated from University of Miami, Lm Miller School of Medicine in 2012, 14 years ago. Practices with North Florida Surgeons PA, a 336-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
TX
In the registry since
2012
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

14546 Old Saint Augustine Rd Ste 407
Jacksonville, FL 32258-5473
Phone: (904) 262-3372
Fax: (904) 262-3306
Show map & directions

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

Additional practice locations (2)

  • 3800 Reservoir Rd Nw, Washington, DC 20007-2113 — (202) 444-1233
  • 1400 Pressler St Unit 1488, Houston, TX 77030 — (713) 794-1247

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence R6770 (TX)

Record details

NPI number1821354325
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2012
Last updated in NPPESAugust 1, 2019
Mailing address11945 San Jose Blvd Ste 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 schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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