Michael Vincent Defazio (NPI# 1821354325, PAC ID# 5496019804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1821354325 |
| PAC ID by PECOS | 5496019804 |
| Professional Enrollment ID | I20190524001244 |
| Full Name | Michael Vincent Defazio |
| Organization Legal Name | NORTH FLORIDA SURGEONS PA |
| Address |
14546 Old Saint Augustine Rd Suite 407 Jacksonville FL 32258-5473 |
| Phone Number | 9042623372 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 2769381391 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 14546 Old Saint Augustine Rd, Suite 407, Jacksonville, FL 32258-5473 | 9042623372 | NORTH FLORIDA SURGEONS PA |
| Organization Legal Name | NORTH FLORIDA SURGEONS PA |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Lynn Kammerdiener | Ophthalmology | North Florida Surgeons Pa | 714 Stockton St, Jacksonville, FL 32204-3402 |
| Edward A Collier Ii | Nurse Practitioner | North Florida Surgeons Pa | 600 E Government St, Pensacola, FL 32502-6136 |
| Francis A Chrzanowski Jr. | Colorectal Surgery (proctology) | North Florida Surgeons Pa | 1617 King St, Jacksonville, FL 32204-4563 |
| John Mitchell Vassallo | Ophthalmology | North Florida Surgeons Pa | 3780 Us Hwy 1 S, St Augustine, FL 32086-7150 |
| Norman A Jones | General Surgery | North Florida Surgeons Pa | 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 |
| Garrett A Hauptman | Otolaryngology | North Florida Surgeons Pa | 7135 Nw 11th Place, Suite A, Gainesville, FL 32605-3143 |
| Mcgregor N Lott | Ophthalmology | North Florida Surgeons Pa | 224 Ponte Vedra Park Dr, Suite 300, Ponte Vedra Beach, FL 32082-6604 |
| John D Brinkman | General Surgery | North Florida Surgeons Pa | 1658 St Vincents Way, Suite 210, Middleburg, FL 32068-8459 |
| Richard D Curtis | Orthopedic Surgery | North Florida Surgeons Pa | 1715 Eagle Harbour Pkwy, Suite A, Fleming Island, FL 32003-4324 |
| Agnes David | General Surgery | North Florida Surgeons Pa | 1370 13th S Ave, Suite 119, Jacksonville Beach, FL 32250-3206 |
| Street Address |
14546 OLD SAINT AUGUSTINE RD SUITE 407 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32258-5473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Becky M Hale | Nurse Practitioner | Baptist Ent Specialists Inc | 14546 Old Saint Augustine Rd, Suite 401, Jacksonville, FL 32258-5473 |
| Sharon Desmarais | Obstetrics/gynecology | Womens Care Florida LLC | 14546 Old Saint Augustine Rd, Suite 402, Jacksonville, FL 32258-5473 |
| Alejandro Pena Jr. | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 14546 Old Saint Augustine Rd, Suite 201, Jacksonville, FL 32258-5470 |
| Yelena M Kajdic | Nurse Practitioner | Baptist Ent Specialists Inc | 14546 Old Saint Augustine Rd, Suite 301, Jacksonville, FL 32258-5472 |
| Angela Rose Johnson | Qualified Audiologist | Baptist Ent Specialists Inc | 14546 Old Saint Augustine Rd, Suite 301, Jacksonville, FL 32258-5472 |
| Blake D Butterworth | Obstetrics/gynecology | Womens Care Florida LLC | 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5472 |
| Justin R Moy | Otolaryngology | Baptist Ent Specialists Inc | 14546 Old Saint Augustine Rd, Suite 401, Jacksonville, FL 32258-5473 |
| Emiliana Franco Ladron De Guevara | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 14546 Old Saint Augustine Rd, Suite 201, Jacksonville, FL 32258-5470 |
| Robert Todd Snowden | Otolaryngology | Baptist Ent Specialists Inc | 14546 Old Saint Augustine Rd, Suite 401, Jacksonville, FL 32258-5473 |
| John N/a Kalam | General Practice | 14546 Old Saint Augustine Rd, Suite 211, Jacksonville, FL 32258-5470 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily A Poland | Gastroenterology | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
| Kevin M Comar | Gastroenterology | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
| Jennifer L Madden | Hand Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
| Richard A Picerno Ii | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
| Gregory Solis | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
| Phillip Michael Bell | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
| Scott Cooper | Gastroenterology | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
| Lauren Elizabeth Kessenich | Nurse Practitioner | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
| Brandon J Kambach | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
| Julia Holsomback | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 11481 Old Saint Augustine Rd, Suite 101, Jacksonville, FL 32258-1474 |
| Find all physicians in zip 32258 | |||
| City | JACKSONVILLE |
| Zip Code | 32258 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | JACKSONVILLE + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Michael Vincent Defazio.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.