OrganizationActive
Granzow Medical LLP
NPI 1912624263 · Plastic Surgery Physician · Jacksonville, FL
Provider details
- NPI number
- 1912624263
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacy Ashley, Practice Manager(904) 874-9709
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4268 Oldfield Crossing Dr Ste 303
Jacksonville, FL 32223-7899
Phone: (904) 325-9386
Fax: (310) 882-6260
Street-level locationGet directions
Mailing address
Po Box 739471
Dallas, TX 75373-9471
Registry dates
- Enumerated
- 2022-10-26
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.