Fred Joe Powell in St. Augustine - Plastic And Reconstructive Surgery
Fred Joe Powell - NPI 1609078542
Fred Joe Powell is a Plastic And Reconstructive Surgery in St. Augustine, Florida. Fred Joe Powell practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Fred Joe Powell is 1609078542. The last update date is 2010-07-23.
Fred Joe Powell's current location address is 111 Nature Walk Parkway, St. Augustine, Florida. You can contact this provider via phone number 9042307180 and fax number 9042307181. The mailing address for Fred Joe Powell is 111 Nature Walk Parkway, St. Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Joe Powell |
|---|---|
| Address | 111 Nature Walk Parkway, St. Augustine, Florida |
| Phone Number | 9042307180 |
| Fax Number | 9042307181 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609078542 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2010-07-23 |
Provider Mailing Address Detail
| Address | 111 Nature Walk Parkway |
|---|---|
| City | St. Augustine |
| State | Florida (FL) |
| Post Code | 32092 |
| Phone Number | 9042307180 |
| Fax Number | 9042307181 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | ME 80996 |
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Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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What is the unique provider identifier assigned to Fred Joe Powell?
The Fred Joe Powell has been issued the NPI (National Provider Identifier) 1609078542 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Fred Joe Powell located?
The Fred Joe Powell is located at 111 Nature Walk Parkway, St. Augustine, FL 32092.
What is Fred Joe Powell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fred Joe Powell's specialized field of practice is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609078542 to Fred Joe Powell?
The Fred Joe Powell received its 1609078542 assignment from the Centers for Medicare & Medicaid Services on 2007-06-04.
As of what date were the details related to Fred Joe Powell most recently updated or revised?
The information pertaining to Fred Joe Powell, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-23.