EVERGREENE CENTER INC NPI 1407044951

NPI Details

EVERGREENE CENTER INC is a plastic surgery in Wellington, 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. EVERGREENE CENTER INC NPI is 1407044951. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1035 S STATE ROAD 7
STE C214
WELLINGTON, FL
ZIP 33414-134
Phone: (561) 626-9021
Fax: (561) 626-7593

The provider's authorized official is Joanne Craft .
The authorized official title is Owner and has the following contact phone number (561) 626-9021.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 4/20/2008.

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

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