Organization · Type 2 NPI
Fort Myers Centre for Facial Plastic and Laser Surgery, Inc.
Specialist · Fort Myers, FL
NPI number
1255520714
Active
Practice location
15721 New Hampshire Ct
Fort Myers, FL 33908-4176
Fax (239) 481-6360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME0068103 (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.
2 other providers at this address
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- Lawrence R Black Do PASpecialist Fort Myers, FL NPI 1194977512
About NPI 1255520714
Fort Myers Centre for Facial Plastic and Laser Surgery, Inc.'s National Provider Identifier is 1255520714, issued on Oct 22, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Myers, FL. The record was last updated on Sep 23, 2009.