FORT MYERS CENTRE FOR FACIAL PLASTIC AND LASER SURGERY INC. NPI 1255520714

NPI Information

FORT MYERS CENTRE FOR FACIAL PLASTIC AND LASER SURGERY, 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. FORT MYERS CENTRE FOR FACIAL PLASTIC AND LASER SURGERY, INC. NPI is 1255520714. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15721 NEW HAMPSHIRE CT
FORT MYERS, FL
ZIP 33908-176
Phone: (239) 481-4911
Fax: (239) 481-6360

The provider's authorized official is Douglas M Stevens .
The authorized official title is Doctor and has the following contact phone number (239) 481-4911.

The enumeration date for this NPI number is 10/22/2007 and was last updated on 9/23/2009.

Taxonomy Codes

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Other Identifiers

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