MICHAEL DEFAZIO, MD
Surgery - Plastic and Reconstructive Surgery
Active
Individual
NPI: 1821354325
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery - Plastic and Reconstructive Surgery | 2086S0122X | Yes | R6770 (TX) |
Frequently Asked Questions
NPI 1821354325 is the National Provider Identifier for MICHAEL DEFAZIO, MD, a Surgery - Plastic and Reconstructive Surgery provider located in Jacksonville, FL. This NPI was enumerated on April 9, 2012.
MICHAEL DEFAZIO, MD practices at 14546 OLD SAINT AUGUSTINE RD STE 407, Jacksonville, FL 32258.
Quick Facts
- NPI
- 1821354325
- Type
- Individual
- Enumerated
- Apr 9, 2012
- Last Updated
- Aug 1, 2019
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