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FLEMING ISLAND PLASTIC SURGERY LLC
NPI 1497128953
Plastic Surgery in Fleming Island, FL

Active since November 05, 2015
1679 EAGLE HARBOR PKWY, SUITE C, FLEMING ISLAND, FL 32003(904) 348-0727 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fleming Island Plastic Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLEMING ISLAND PLASTIC SURGERY LLC (NPI 1497128953) is a healthcare organization registered as a plastic surgery in Fleming Island, Florida and active in the NPI registry since November 2015. The organization lists Shannon Delp, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1497128953
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameFLEMING ISLAND PLASTIC SURGERY LLC
Location Address1679 EAGLE HARBOR PKWY, SUITE CFleming Island, FL 32003-4815
Mailing Address1679 Eagle Harbor Pkwy, Suite CFleming Island, FL 32003-4815
Phone(904) 348-0727
Organization SubpartNo
Authorized OfficialShannon DelpDelegated Official · (904) 874-7215
Enumeration DateNovember 5, 2015
✔ NPI 1497128953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in FL · ME107749
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1679 EAGLE HARBOR PKWY, Fleming Island, FL 32003
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MY SIDE MEDICINE LLC
Family Medicine
1679 EAGLE HARBOR PKWY
FLEMING ISLAND, FL 32003
Duval County (904) 289-1850
DR. WILLIAM ARTHUR WALLACE JR. M.D.
Surgery (Plastic and Reconstructive Surgery)
1679 EAGLE HARBOR PKWY, SUITE C
FLEMING ISLAND, FL 32003
Duval County (904) 348-0727
JACKSONVILLE MULTISPECIALTY SERVICES, LLC
Orthopaedic Surgery
1679 EAGLE HARBOR PKWY, SUITE B
ORANGE PARK, FL 32003
Duval County (904) 399-6109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fleming Island Plastic Surgery LLC's NPI number?

The NPI number for Fleming Island Plastic Surgery LLC is 1497128953. It was assigned to this organization in the NPPES registry on November 5, 2015.

Where is Fleming Island Plastic Surgery LLC located?

Fleming Island Plastic Surgery LLC is located at 1679 Eagle Harbor Pkwy Suite C, Fleming Island, FL 32003. The listed phone number is (904) 348-0727.

What is Fleming Island Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Fleming Island Plastic Surgery LLC was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.