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DAYTONA PLASTIC SURGERY P.L. NPI 1073883971


NPI Information

NPI: 1073883971
Provider Name: DAYTONA PLASTIC SURGERY, P.L.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4606 S CLYDE MORRIS BLVD
SUITE 1 L
PORT ORANGE, FL
ZIP 32129
Phone: (386) 756-9009
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DAYTONA PLASTIC SURGERY, P.L. is a clinic center in Port Orange, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DAYTONA PLASTIC SURGERY, P.L. NPI is 1073883971. The provider is registered as an organization entity type.

The provider's business location address is:

4606 S CLYDE MORRIS BLVD
SUITE 1 L
PORT ORANGE, FL
ZIP 32129-404
Phone: (386) 756-9009
Fax: (386) 756-3006

The provider's authorized official is Vijay J Moradia .
The authorized official title is Managing Member and has the following contact phone number (386) 756-9009.

The enumeration date for this NPI number is 1/9/2012 and was last updated on 1/9/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterME 62606FLORIDAYes

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: 4/28/2024

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