Organization · Type 2 NPI

Daytona Plastic Surgery, P.l.

Clinic/Center · Port Orange, FL

NPI number 1073883971 Active

Practice location

4606 S Clyde Morris Blvd, Suite 1 L
Port Orange, FL 32129-6404

Fax (386) 756-3006

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XME 62606 (FL)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

8 other providers at this address

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About NPI 1073883971

Daytona Plastic Surgery, P.l.'s National Provider Identifier is 1073883971, issued on Jan 9, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Port Orange, FL. The record was last updated on Jan 9, 2012.