Leslie Robert Berghash in Port St Lucie - Facial Plastic Surgery
Leslie Robert Berghash - NPI 1255420485
Leslie Robert Berghash is a Facial Plastic Surgery in Port St Lucie, Florida. Leslie Robert Berghash practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Leslie Robert Berghash is 1255420485. The last update date is 2008-09-23.
Leslie Robert Berghash's current location address is 1801 Se Hillmoor Dr, Port St Lucie, Florida. You can contact this provider via phone number 7723989911 and fax number 7723984374. The mailing address for Leslie Robert Berghash is 1801 Se Hillmoor Dr, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Leslie Robert Berghash |
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Address | 1801 Se Hillmoor Dr, Port St Lucie, Florida |
Phone Number | 7723989911 |
Fax Number | 7723984374 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1255420485 |
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Provider Enumeration Date | 2006-10-12 |
Last Updated Date | 2008-09-23 |
Provider Mailing Address Detail
Address | 1801 Se Hillmoor Dr |
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City | Port St Lucie |
State | Florida (FL) |
Post Code | 349527545 |
Phone Number | 7723989911 |
Fax Number | 7723984374 |
Provider's Primary Taxonomy Detail
Speciality | Facial Plastic Surgery |
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Taxonomy | 207Ys0123X |
Licence No | ME0052176 |
Definition: An otolaryngologist who specializes in facial plastic surgery. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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255062800 | FL | -- |
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What is the unique 10-digit identifier code issued to Leslie Robert Berghash by the Centers for Medicare & Medicaid Services?
The Leslie Robert Berghash has been assigned the NPI (National Provider Identifier) 1255420485 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Leslie Robert Berghash's physical address?
The Leslie Robert Berghash is physically located at 1801 Se Hillmoor Dr, in the city of Port St Lucie, FL, with the postal code 349527545.
What is Leslie Robert Berghash's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Leslie Robert Berghash is Facial Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Ys0123X.
On what date did Leslie Robert Berghash receive its 1255420485 assignment from the Centers for Medicare & Medicaid Services?
The Leslie Robert Berghash was assigned its 1255420485 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Leslie Robert Berghash most recently updated?
The details pertaining to the Leslie Robert Berghash, including its address, specialty, and other relevant information, were last refreshed on 2008-09-23.