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RESTORATIVE PLASTIC SURGERY LLC NPI 1689305674


NPI Information

NPI: 1689305674
Provider Name: RESTORATIVE PLASTIC SURGERY LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
3572 PRESERVE DR
MIRAMAR BEACH, FL
ZIP 32550
Phone: (504) 287-7704
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RESTORATIVE PLASTIC SURGERY LLC is a plastic and reconstructive surgery surgery in Miramar Beach, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. RESTORATIVE PLASTIC SURGERY LLC NPI is 1689305674. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3572 PRESERVE DR
MIRAMAR BEACH, FL
ZIP 32550-802
Phone: (504) 287-7704
Fax: (504) 387-6538

The provider's authorized official is Deborah S Frazier .
The authorized official title is Administrator and has the following contact phone number (439) 914-2898.

The enumeration date for this NPI number is 6/21/2022 and was last updated on 10/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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