Organization · NPI-2
Clearwater Aesthetics And Plastic Surgery
Surgery · Clearwater, FL
NPI number1922845023
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1922845023
- Entity type
- Organization (NPI-2)
- Legal business name
- Clearwater Aesthetics And Plastic Surgery
- Organization subpart
- No
- Enumeration date
- Jul 15, 2024
- Certification date
- Jul 6, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 163WI0500X | Registered Nurse, Infusion Therapy | – | – | |
| 207L00000X | Anesthesiology | – | – | |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207VF0040X | Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | – | – | |
| 207XX0004X | Orthopaedic Surgery, Foot and Ankle Surgery | – | – | |
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | – | – | |
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | – | – | |
| 208200000X | Plastic Surgery | – | – | |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | |
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | |
| 367H00000X | Anesthesiologist Assistant | – | – |
Other names
- Citrus Health Center LLC (Former Legal Business Name)
- Clearwater Aesthetics And Plastic Surgery (Doing Business As)
Practice location
818 Chestnut StClearwater, FL 33756-5642
Phone 727-477-3636 · Fax 813-659-5107
Mailing address
801 N Orange Ave Ste 710Orlando, FL 32801-5202
Phone 407-759-5745 · Fax 813-659-5107
Other practice locations
801 N Orange Ave Ste 710
Orlando, FL 32801-5202
Orlando, FL 32801-5202
Phone 407-759-5745 · Fax 813-659-5107
Authorized official
Eduardo Garrido
Provider / Owner
7274773636
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