IndividualActive
Adekunle Elegbede, M.D., PH.D
NPI 1629404603 · Plastic Surgery Physician · Jacksonville, FL
Provider details
- NPI number
- 1629404603
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D
- Sex
- Male
- Sole proprietor
- No
- License
- 03230465 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Pharmacy Service Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Approximate (ZIP-level) locationGet directions
Mailing address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Additional practice locations (1)
- 1515 Holcombe BlvdHouston, TX 77030-4000Phone: (713) 792-6161
Registry dates
- Enumerated
- 2013-09-23
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.