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

Peter Matthew Granger

Individual provider Plastic Surgery Physician · NPI 1669174868

Peter Matthew Granger is a Plastic Surgery Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence TRN37608 (FL)

Record details

NPI number1669174868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

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