ELITE SURGERY CENTER LLC NPI 1962960146

NPI Details

ELITE SURGERY CENTER, LLC is a plastic surgery in Bradenton, 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. ELITE SURGERY CENTER, LLC NPI is 1962960146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5301 4TH AVE CIRCLE E
BRADENTON, FL
ZIP 34208
Phone: (941) 954-4500

The provider's authorized official is Melinda L Lacerna Kimbrell .
The authorized official title is Manager/member and has the following contact phone number (941) 954-4500.

The CLIA number assigned to this NPI record is 10D2074352 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2019 and was last updated on 3/7/2019.

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: