Organization · Type 2 NPI

Florida Coastal Plastic Sugery

Specialist · Bradenton, FL

NPI number 1033410576 Active

Practice location

5105 Manatee Avenue West, Suit 19
Bradenton, FL 34209-3715

Fax (941) 795-5177

Mailing address

5105 Manatee Ave W, Suite 19
Bradenton, FL 34209-3715

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME87555 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1033410576

Florida Coastal Plastic Sugery's National Provider Identifier is 1033410576, issued on Nov 16, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bradenton, FL. The record was last updated on Nov 16, 2010.