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DR. FRED JOE POWELL M.D.
NPI 1609078542
Surgery - Plastic and Reconstructive Surgery in St. Augustine, FL

Active since June 04, 2007
111 NATURE WALK PARKWAY, SUITE 108, ST. AUGUSTINE, FL 32092(904) 230-7180(904) 230-7181 Get Directions Write a Review

NPPES record last updated: July 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Fred Joe Powell M.d. NPPES

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

DR. FRED JOE POWELL M.D. (NPI 1609078542) is an individual plastic and reconstructive surgery provider in St. Augustine, Florida, licensed in Florida (ME 80996) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1609078542
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. FRED JOE POWELLCredential: M.D.
Location Address111 NATURE WALK PARKWAY, SUITE 108St. Augustine, FL 32092
Mailing Address111 Nature Walk Parkway, Suite 108St. Augustine, FL 32092 · (904) 230-7180 · Fax (904) 230-7181
Phone(904) 230-7180
Fax(904) 230-7181
Sole ProprietorYes
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 23, 2010
✔ NPI 1609078542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in FL · ME 80996
Definition
A surgeon who specializes in plastic and reconstructive surgery.
111 NATURE WALK PARKWAY, St. Augustine, FL 32092
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Other Providers at the Same Location NPPES 8

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

JERRY ANNIE YANCEY MHS,OTR/L
Occupational Therapist
111 NATURE WALK PARKWAY, STE 101
ST AUGUSTINE, FL 32092
St. Johns County (904) 230-7761
APLUS CHILDREN'S THERAPY
Developmental Therapist
111 NATURE WALK PARKWAY, SUITE 101
ST AUGUSTINE, FL 32092
St. Johns County (904) 230-7761
RACHEL WILBER DOTR/L
Occupational Therapist
111 NATURE WALK PARKWAY, SUITE 101
ST AUGUSTINE, FL 32092
St. Johns County (904) 230-7761
CHRISTINA MARIE BREWTON OTR/L
Occupational Therapist
111 NATURE WALK PARKWAY, STE 101
ST AUGUSTINE, FL 32092
St. Johns County (904) 230-7761
DEBORAH LENNON OTR/L
Occupational Therapist
111 NATURE WALK PARKWAY, SUITE 101
ST AUGUSTINE, FL 32092
St. Johns County (904) 230-7761
NATALIE ANN DI ANGELO MA,CCC-SLP
Speech-Language Pathologist
111 NATURE WALK PARKWAY, STE 101
ST AUGUSTINE, FL 32092
St. Johns County (904) 230-7761
TERESA J SACKMASTER PTA
Physical Therapy Assistant
111 NATURE WALK PARKWAY, SUITE 101
ST AUGUSTINE, FL 32092
St. Johns County (904) 230-7761
A PLUS CHILDREN'S THERAPY
Occupational Therapist
111 NATURE WALK PARKWAY, STE 101
ST AUGUSTINE, FL 32092
St. Johns County (904) 230-7761

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 Fred Powell's NPI number?

The NPI number for Fred Powell is 1609078542. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Fred Powell located?

Fred Powell practices at 111 Nature Walk Parkway Suite 108, St. Augustine, FL 32092. The listed phone number is (904) 230-7180.

What is Fred Powell's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Fred Powell was last updated on July 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.