Organization
AMELIA ISLAND PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STEWART HUMPHREY MD (PRESIDENT)
(904) 430-0271
Entity
Organization
Contact information
Practice address
5472 FIRST COAST HWY, SUITE 3, AMELIA ISLAND, FL 32034-5488
(904) 430-0271
(904) 430-0290
Mailing address
5472 FIRST COAST HWY, SUITE 3, AMELIA ISLAND, FL 32034-5488
(904) 430-0271
(904) 430-0290
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
08/22/2020
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