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NOVO PLASTIC SURGERY LLC NPI 1740674464


NPI Information

NPI: 1740674464
Provider Name: NOVO PLASTIC SURGERY LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
5147 N 9TH AVE
SUITE 203
PENSACOLA, FL
ZIP 32504
Phone: (904) 316-1515
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NOVO PLASTIC SURGERY LLC is a plastic and reconstructive surgery surgery in Pensacola, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. NOVO PLASTIC SURGERY LLC NPI is 1740674464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5147 N 9TH AVE
SUITE 203
PENSACOLA, FL
ZIP 32504-771
Phone: (904) 316-1515

The provider's authorized official is Kyle Kit Shaddix .
The authorized official title is Manager and has the following contact phone number (904) 316-1515.

The enumeration date for this NPI number is 3/19/2015 and was last updated on 3/19/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryME99596FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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