MICHAEL VINCENT DEFAZIO

JACKSONVILLE, FL
NPI1821354325
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: TX  R6770)
Enumeration Date2012-04-09
Last Update Date2019-08-01
Business Address
MICHAEL VINCENT DEFAZIO MD
14546 OLD SAINT AUGUSTINE RD STE 407
JACKSONVILLE, FL 32258-5473
Phone number: 904-262-3372
Mailing Address
MICHAEL VINCENT DEFAZIO MD
11945 SAN JOSE BLVD STE 300
JACKSONVILLE, FL 32223-1627
Phone number: 904-396-1725
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