Organization · Type 2 NPI
Wing Surgical PA
Plastic and Reconstructive Surgery Physician · Sanford, FL
NPI number
1871811646
Active
Practice location
309 N Mangoustine Ave
Sanford, FL 32771-1098
Fax (407) 322-7763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 602761 (FL) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1871811646
Wing Surgical PA's National Provider Identifier is 1871811646, issued on May 4, 2010. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Sanford, FL. The record was last updated on May 10, 2010.