BEAUTY MARK PLASTIC SURGERY PA NPI 1184997470

NPI Information

BEAUTY MARK PLASTIC SURGERY, PA is a plastic and reconstructive surgery surgery in Plantation, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. BEAUTY MARK PLASTIC SURGERY, PA NPI is 1184997470. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 NW 82ND AVE
SUITE 405
PLANTATION, FL
ZIP 33324-809
Phone: (954) 474-3792
Fax: (954) 474-3795

The provider's authorized official is Alberik Keshishian .
The authorized official title is President and has the following contact phone number (954) 593-2965.

The enumeration date for this NPI number is 2/16/2012 and was last updated on 2/16/2012.

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:

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