Michael Vincent Defazio, MD
NPI #1821354325 in Jacksonville, Florida
Provider Information
- NPI Number
- 1821354325
- Entity Type
- Individual
- Name
- Michael Vincent Defazio, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Credential
- MD
- Enumeration Date
- Apr 9, 2012
- Last Updated
- Aug 1, 2019
Practice Location
- Address
- 14546 OLD SAINT AUGUSTINE RD STE 407
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32258-5473
- Phone
- (904) 262-3372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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