WHITE SANDS MEDICAL GROUP
NPI 1801676531
Surgery - Plastic and Reconstructive Surgery in Lynn Haven, FL

Active since October 02, 2023
1702 OHIO AVE, LYNN HAVEN, FL 32444(850) 647-8825(850) 248-8825 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About White Sands Medical Group NPPES

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

WHITE SANDS MEDICAL GROUP (NPI 1801676531), doing business as Plastic Surgery Institute & Spa, is a healthcare organization registered as a plastic and reconstructive surgery in Lynn Haven, Florida and active in the NPI registry since October 2023. The organization lists Farid Brad Mozaffari, President, as its authorized official.

NPPES Registry Identity

NPI1801676531
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameWHITE SANDS MEDICAL GROUP
Location Address1702 OHIO AVELynn Haven, FL 32444-4290
Mailing Address1702 Ohio AveLynn Haven, FL 32444-4290 · (850) 647-8825
Fax(850) 248-8825
Organization SubpartNo
Authorized OfficialFarid Brad MozaffariPresident · (850) 647-8825
Enumeration DateOctober 2, 2023
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
NPI 1801676531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1702 OHIO AVE, Lynn Haven, FL 32444

Other Names 1

Doing Business AsPlastic Surgery Institute & Spa

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 11

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

Plastic Surgery
1702 OHIO AVE
LYNN HAVEN, FL 32444
Nurse Practitioner (Family)
1702 OHIO AVE
LYNN HAVEN, FL 32444
Nurse Practitioner (Family)
1702 OHIO AVE
LYNN HAVEN, FL 32444
Clinic/Center (Urgent Care)
1702 OHIO AVE
LYNN HAVEN, FL 32444
Surgery
1702 OHIO AVE
LYNN HAVEN, FL 32444
Family Medicine
1702 OHIO AVE
LYNN HAVEN, FL 32444
Nurse Practitioner (Family)
1702 OHIO AVE
LYNN HAVEN, FL 32444
Physician Assistant (Medical)
1702 OHIO AVE
LYNN HAVEN, FL 32444

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 White Sands Medical Group's NPI number?

The NPI number for White Sands Medical Group is 1801676531. It was assigned to this organization in the NPPES registry on October 2, 2023. The provider is doing business as Plastic Surgery Institute & Spa.

Where is White Sands Medical Group located?

White Sands Medical Group is located at 1702 Ohio Ave, Lynn Haven, FL 32444. The listed phone number is (850) 647-8825.

What is White Sands Medical Group'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 White Sands Medical Group was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.