SKIN CARE SPECIALISTS LLC NPI 1043512502

NPI Information

  • NPI: 1043512502
  • Provider Name: SKIN CARE SPECIALISTS LLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 14959 OLD FREDERICK RD
    WOODBINE, MD
    ZIP 21797
  • Phone: (410) 489-6249

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NPI Details

SKIN CARE SPECIALISTS LLC is a plastic surgery in Woodbine, MD. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. SKIN CARE SPECIALISTS LLC NPI is 1043512502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14959 OLD FREDERICK RD
WOODBINE, MD
ZIP 21797-613
Phone: (410) 489-6249
Fax: (206) 350-5127

The provider's authorized official is Ivens C Leflore .
The authorized official title is Owner and has the following contact phone number (410) 489-6249.

The enumeration date for this NPI number is 12/3/2010 and was last updated on 12/6/2010.

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
1208200000XPlastic SurgeryD09546MARYLANDYes

What is NPI?

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This page was last updated on: 11/21/2025

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