Organization · NPI-2
A.Desrosiers III, M.D., Corp
Plastic Surgery · Coral Gables, FL
NPI number1790161172
StatusActive
Last updated in NPPESAug 7, 2015
Details
- NPI
- 1790161172
- Entity type
- Organization (NPI-2)
- Legal business name
- A.Desrosiers III, M.D., Corp
- Organization subpart
- No
- Enumeration date
- Aug 7, 2015
- Last updated
- Aug 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | ME110935 | FL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery | ME110935 | FL | |
| 2082S0105X | Plastic Surgery, Surgery of the Hand | ME110935 | FL |
Practice location
6705 S Red RoadSuite 516
Coral Gables, FL 33143
Phone 305-403-2922 · Fax 305-517-3130
Mailing address
6705 S Red RoadSuite 516
Coral Gables, FL 33143
Phone 305-403-2922 · Fax 305-517-3130
Authorized official
Arthur Desrosiers
Ceo
3054032922
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