Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Mary Plastic and Cosmetic Surgery PA

Organization Plastic Surgery Physician · NPI 1023592177

Lake Mary Plastic and Cosmetic Surgery PA provides Plastic Surgery Physician services in Lake Mary, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

934 Williston Park Pt Ste 1028
Lake Mary, FL 32746-2165
Phone: (407) 333-2518
Fax: (407) 333-2521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1023592177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Shoukas — President · (904) 553-0737
NPI enumeratedSeptember 24, 2018
Last updated in NPPESSeptember 24, 2018
Mailing address934 Williston Park Pt Ste 1028, Lake Mary, FL 32746-2165

Other providers in Lake Mary