FLORIDA PLASTIC SURGERY CENTER LLC NPI 1750596359

NPI Information

NPI: 1750596359
Provider Name: FLORIDA PLASTIC SURGERY CENTER, LLC

Former Legal Business Name: BRADENTON PLASTIC SURGERY CENTER, LLC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1220 59TH ST W
BRADENTON, FL
ZIP 34209
Phone: (941) 795-2088
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FLORIDA PLASTIC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bradenton, FL. FLORIDA PLASTIC SURGERY CENTER, LLC NPI is 1750596359. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Bradenton Plastic Surgery Center, Llc.

The provider's business location address is:

1220 59TH ST W
BRADENTON, FL
ZIP 34209-154
Phone: (941) 795-2088
Fax: (941) 792-5139

The provider's authorized official is Enrique J Fernandezm .
The authorized official title is Owner and has the following contact phone number (941) 795-2088.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 10/5/2012.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	1936	FLORIDA	Yes

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: 4/28/2024

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