Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. in Fort Myers - Specialist

Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. - NPI 1255520714

Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. is a Specialist in Fort Myers, Florida. Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. is 1255520714. The last update date is 2009-09-23.

Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.'s current location address is 15721 New Hampshire Ct, Fort Myers, Florida. You can contact this provider via phone number 2394814911 and fax number 2394816360. The mailing address for Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. is 15721 New Hampshire Ct, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.
Address 15721 New Hampshire Ct, Fort Myers, Florida
Phone Number 2394814911
Fax Number 2394816360
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Stevens M Douglas
Credentials MD
Telephone Number 2394814911

NPI Number Detail

NPI Number 1255520714
Provider Enumeration Date 2007-10-22
Last Updated Date 2009-09-23

Provider Mailing Address Detail

Address 15721 New Hampshire Ct
City Fort Myers
State Florida (FL)
Post Code 339084176
Phone Number 2394814911
Fax Number 2394816360

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ME0068103
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40012514 FL RAILROAD MEDICARE
32891 FL BCBS
5091536 FL AETNA

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FAQs about Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.

What is the Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.'s unique identification number?

The Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. has been assigned the NPI (National Provider Identifier) Number 1255520714 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.?

The Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. is situated at 15721 New Hampshire Ct, in the city of Fort Myers, state of FL, with the zip code 339084176.

What is Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.'s area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

When was the Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.'s 1255520714 issued?

The Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.'s 1255520714 was issued on 2007-10-22.

When was the information regarding Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. most recently updated?

The details pertaining to the Fort Myers Centre For Facial Plastic And Laser Surgery, Inc., including its address, specialty, and other relevant information, were last refreshed on 2009-09-23.

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