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Organization

SAINT JOHNS PLASTIC SURGERY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW BRETT MITCHELL MD (MEMBER/PLASTIC SURGEON)
(904) 657-4103
Entity
Organization

Contact information

Practice address
304 ASHOURIAN AVE STE 107, SAINT AUGUSTINE, FL 32092-5110
(281) 630-1127
Mailing address
512 COURTNEY OAKS DR, SAINT AUGUSTINE, FL 32092-1999
(281) 630-1127

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
04/16/2026
Last updated
04/24/2026
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