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Florida Plastic Surgery Center, LLC

Clinic/Center, Ambulatory Surgical in Bradenton, FL. Organization (NPI-2).

NPI number1750596359
StatusActive
Last updated in NPPESOct 5, 2012

Details

NPI
1750596359
Entity type
Organization (NPI-2)
Legal business name
Florida Plastic Surgery Center, LLC
Organization subpart
No
Enumeration date
May 14, 2007
Last updated
Oct 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical1936FLYes

Other names

  • Bradenton Plastic Surgery Center, LLC (Former Legal Business Name)

Practice location

1220 59th St W
Bradenton, FL 34209-4154

Phone 941-795-2088 · Fax 941-792-5139

Mailing address

1220 59th St W
Bradenton, FL 34209-4154

Phone 941-795-2088 · Fax 941-792-5139

Authorized official

Enrique J Fernandezm
Owner
9417952088

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