Search › Florida › 207Q00000X
Mark Michaels, M.D
NPI 1740546837 · on the registry since 2012
Practice
- Address
- 304 Ashourian Ave Ste 105
Saint Augustine, FL 32092 - Phone
- (904) 819-1006
- Fax
- (904) 819-1008
- Organisation at this address
- Saint Johns Plastic Surgery Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 1600 Sw Archer Rd, Gainesville, FL
- 600 E Dixie Ave, Leesburg, FL
- 400 Health Park Blvd, St Augustine, FL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida