Individual Healthcare Provider
Michael Vincent Defazio, MD
Provider's NPPES record last updated: August 1, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1821354325
- Primary Specialty
- Surgery — Plastic and Reconstructive Surgery
- Practice Location
- Jacksonville, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 11:53 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Surgery
Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians
A surgeon who specializes in plastic and reconstructive surgery.
Taxonomy code 2086S0122X
Provider-Reported License Information
- Surgery (Texas)
- R6770
Practice Locations
Practice Location
14546 Old Saint Augustine Rd Ste 407
Jacksonville, Florida 32258-5473
Phone: (904) 262-3372
Additional Practice Location
3800 Reservoir Rd Nw
Dept of Plastic Surgery
Washington, District of Columbia 20007-2113
Phone: (202) 444-1233
Fax: (202) 444-7422
Additional Practice Location
1400 Pressler St Unit 1488
Houston, Texas 77030
Phone: (713) 794-1247
Fax: (713) 794-5492
Record Information
- Enumeration Date
- April 9, 2012
- Provider's NPPES Record Last Updated
- August 1, 2019
- NPISignal NPPES Dataset
- August 2026
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