Florida Plastic Surgery Center, Llc

NPI 1750596359 - Clinic/Center - 261QA1903X

NPI Details
NPI 1750596359
Enumeration Date 05/14/2007
Last Updated 10/05/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ENRIQUE J ENRIQUE
Position OWNER
Phone (941) 795-2088
Fax (941) 792-5139
Practice Location
1220 59TH ST W
BRADENTON FL, 34209-4154, US
Phone (941) 795-2088
Fax (941) 792-5139
Business Location
1220 59TH ST W
BRADENTON FL, 34209-4154, US
Phone (941) 795-2088
Fax (941) 792-5139
Toxanomy
Taxonomy Code 261QA1903X
License State Florida
License Number 1936
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According to our database, Florida Plastic Surgery Center, Llc NPI is 1750596359, taxonomy code is 261QA1903X and license number is 1936, license state is located at Florida. Florida Plastic Surgery Center, Llc physically located at 1220 59th St W, Bradenton FL, 34209-4154. NPI Number 1033115704 has the healthcare provider type.

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1750596359 NPI number is provided on an as is basis without warranty of any kind. 1750596359 is maintained by the National Plan & Provider Enumeration System. The contents of Florida Plastic Surgery Center, Llc are for informational purposes only.