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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2082S0099X | Plastic Surgery | Plastic Surgery Within the Head and Neck | ME95719 | FLORIDA | No |
| 2 | 2082S0105X | Plastic Surgery | Surgery of the Hand | ME95719 | FLORIDA | No |
| 3 | 2083P0011X | Preventive Medicine | Undersea and Hyperbaric Medicine | ME95719 | FLORIDA | No |
| 4 | 2086S0122X | Surgery | Plastic and Reconstructive Surgery | 47912 | WISCONSIN | No |
| 5 | 2086S0122X | Surgery | Plastic and Reconstructive Surgery | 036-103717 | ILLINOIS | No |
| 6 | 2086S0122X | Surgery | Plastic and Reconstructive Surgery | ME95719 | FLORIDA | Yes |
| 7 | 208200000X | Plastic Surgery | | ME95719 | FLORIDA | No |
| 8 | 207PE0005X | Emergency Medicine | Undersea and Hyperbaric Medicine | ME95719 | FLORIDA | No |