person
Dr. Fred Joe Powell, MD
Plastic and Reconstructive Surgery Physician in St. Augustine, Florida
NPI 1609078542

Fred Joe Powell is a Plastic and Reconstructive Surgery Physician based in St. Augustine, FL and is specialized in Plastic and Reconstructive Surgery. Fred Joe Powell practices in St. Augustine, FL and has the professional credentials of MD. The NPI Number for Fred Joe Powell is 1609078542 and holds a License No. ME 80996 (Florida).

The current practice location address for Fred Joe Powell is 111 Nature Walk Parkway, St. Augustine, FL and can be reached out via phone at 904-230-7180 and via fax at 904-230-7181.

Location: 111 Nature Walk Parkway, St. Augustine, FL, 32092
person
Provider Profile Details
NPI Number
1609078542
Provider Name
Fred Joe Powell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Nature Walk Parkway, St. Augustine, FL, 32092
Phone Number
904-230-7180
Fax Number
904-230-7181
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Nature Walk Parkway
City
State
Zip
32092
Phone Number
904-230-7180
Fax Number
904-230-7181
person
Provider Business Mailing Address Details
Address
111 Nature Walk Parkway
City
State
Zip
32092
Phone Number
904-230-7180
Fax Number
904-230-7181
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
ME 80996 (Florida)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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