A.DESROSIERS III M.D. CORP NPI 1073064382

NPI Information

NPI: 1073064382
Provider Name: A.DESROSIERS III, M.D., CORP
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address: 6705 S RED RD
SUITE 516
SOUTH MIAMI, FL
ZIP 33143
Phone: (305) 403-2922

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NPI Details

A.DESROSIERS III, M.D., CORP is a plastic surgery in South Miami, FL. 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. A.DESROSIERS III, M.D., CORP NPI is 1073064382. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6705 S RED RD
SUITE 516
SOUTH MIAMI, FL
ZIP 33143-622
Phone: (305) 403-2922
Fax: (305) 517-3130

The provider's authorized official is Arthur Desrosiers .
The authorized official title is C.e.o. and has the following contact phone number (305) 403-2922.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.

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
1	2082S0105X	Plastic Surgery	Surgery of the Hand	ME110935	FLORIDA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO3822	FLORIDA	No
3	363AS0400X	Physician Assistant	Surgical	PA9108751	FLORIDA	No
4	208200000X	Plastic Surgery		ME110935	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0005967100	MEDICAID	FLORIDA
2	14L2X	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
3	015464600	MEDICAID	FLORIDA

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: 11/21/2025

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