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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME87555 (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.