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AESTHETIC PLASTIC SURGEONS OF NO. FLORIDA PA NPI 1861604084


NPI Information

NPI: 1861604084
Provider Name: AESTHETIC PLASTIC SURGEONS OF NO. FLORIDA, PA
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
4400 BAYOU BLVD
SUITE 23A
PENSACOLA, FL
ZIP 32503
Phone: (850) 476-5623
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AESTHETIC PLASTIC SURGEONS OF NO. FLORIDA, PA is a plastic and reconstructive surgery surgery in Pensacola, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. AESTHETIC PLASTIC SURGEONS OF NO. FLORIDA, PA NPI is 1861604084. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4400 BAYOU BLVD
SUITE 23A
PENSACOLA, FL
ZIP 32503-673
Phone: (850) 476-5623
Fax: (850) 476-1357

The provider's authorized official is Kirk M. Smith .
The authorized official title is President and has the following contact phone number (850) 476-5623.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/27/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryME0058470FLORIDAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D23615MEDICARE UPINFLORIDA
2ME0058470OTHERFLORIDAFL MEDICAL LICENSE NUMBER
311601MEDICARE ID-TYPE UNSPECIFIEDFLORIDABLUE CROSS NUMBER

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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