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
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
Provider Enumeration Date 2006-10-12
Last Updated Date 2008-09-23

Provider Mailing Address Detail

Address 1801 Se Hillmoor Dr
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
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
255062800 FL --

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FAQs about Leslie Robert Berghash

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.

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