SOUTHWEST FLORIDA FACIAL PLASTIC SURGERY ASSOCIATES INC. NPI 1245481597

NPI Information

SOUTHWEST FLORIDA FACIAL PLASTIC SURGERY ASSOCIATES INC. is a specialist in Fort Myers, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHWEST FLORIDA FACIAL PLASTIC SURGERY ASSOCIATES INC. NPI is 1245481597. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9407 CYPRESS LAKE DR STE A
FORT MYERS, FL
ZIP 33919-910
Phone: (239) 473-7390

The provider's authorized official is Stephen A Prendiville .
The authorized official title is President and has the following contact phone number (239) 437-3900.

The CLIA number assigned to this NPI record is 10D2051603 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 5/20/2014.

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:

Other Identifiers

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