White Sands Medical Group

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

WHITE SANDS MEDICAL GROUP

Doing business as

Plastic Surgery Institute & Spa

Practice address

1702 Ohio Ave
Lynn Haven, FL 32444-4290

Phone

(850) 647-8825

Fax

(850) 248-8825

NPI assigned

Oct 2, 2023

Last updated

Jan 31, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Farid Brad Mozaffari, MDNPI 1639290075

Title

President

Phone

(850) 647-8825

Specialties & licenses 1

Addresses

Other names 1

• Plastic Surgery Institute & Spa Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farid Brad Mozaffari, MD

  • Plastic Surgery Physician
  • San Diego, CA
  • NPI 1639290075

  Plastic and Reconstructive Surgery

  NPD Authorized official
• Amy Bair, MD

  • Surgery Physician
  • Lynn Haven, FL
  • NPI 1285862623
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1801676531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-647-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-647-8825",
            "fax_number": "850-248-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SANDS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "MOZAFFARI",
        "authorized_official_first_name": "FARID",
        "authorized_official_middle_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-647-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Institute & Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luize Warren, DPT
• Kara Leigh Watford
• Susan Marie Waynes, CRNA
• Weeks Family Services Inc. (BrightStar of Bay/Jackson/Washington Counties)
• Fred William Werner, RPH
• Sonya White
• Vincenza White
• William C Forrest
• Steven R Wilson, R.PH.
• Brittany Wobser, LPTA

• Plastic and Reconstructive Surgery Physician in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.