Organization · Type 2 NPI
The Center for Facial Restoration, Incorporated
Otolaryngology/Facial Plastic Surgery Physician · Miramar, FL
NPI number
1861877979
Active
Practice location
1951 SW 172nd Avenue, Suite 205
Miramar, FL 33029-5613
Fax (786) 228-2853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | ME64358 (FL) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
2 other providers at this address
About NPI 1861877979
The Center for Facial Restoration, Incorporated's National Provider Identifier is 1861877979, issued on Jul 30, 2015. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Miramar, FL. The record was last updated on Jul 30, 2015.