Plastic SurgeryIndex

Peter Granger

Plastic surgery clinician in Jacksonville, FL

Registered providerLicense # listed (FL)

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Public-record details

Address
4500 San Pablo Rd S, Jacksonville, FL 32224
Phone
(904) 953-2000
Listed under
Individual clinicians
NPI
1669174868
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Plastic Surgery (208200000X)
License number on NPI record
TRN37608 (FL)
NPI first issued
Mar 20, 2023
NPI record last updated
Aug 8, 2024

NPI 1669174868 is active in the federal NPPES registry (CMS); license TRN37608 (FL) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-11-08.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Plastic surgery here is the specialty the provider chose when registering for an NPI. It is not board certification and NPPES does not check it. To check board certification, use the American Board of Plastic Surgery's verification tool, and confirm the medical license with the state board.

View NPI 1669174868 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Plastic Surgery, and ask whether the facility is accredited and who gives anesthesia.

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Public record, not an endorsement. This listing was compiled from public records as of 2026-11-08 and may be incomplete or out of date. Plastic Surgery Index does not vet, employ, recommend or guarantee plastic surgery practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Plastic Surgery Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error