Organization · Type 2 NPI
Hillstrom Facial Plastic Surgery PA
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Lakewood Ranch, FL
Practice location
6310 Health Park Way Ste 110
Lakewood Ranch, FL 34202-5177
Fax (941) 358-9749
Mailing address
Box 195, 8374 Market Street
Bradenton, FL 34202-5137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME54913 (FL) |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Primary | 2082S0099X | ME54913 (FL) |
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery i…
About NPI 1104051978
Hillstrom Facial Plastic Surgery PA's National Provider Identifier is 1104051978, issued on May 22, 2009. The primary taxonomy on file is Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (2082S0099X), and the practice location is in Lakewood Ranch, FL. The record was last updated on Oct 13, 2025.