Coastal Aesthetic Center Pa in Saint Augustine - Plastic And Reconstructive Surgery
Coastal Aesthetic Center Pa - NPI 1114119393
Coastal Aesthetic Center Pa is a Plastic And Reconstructive Surgery in Saint Augustine, Florida. Coastal Aesthetic Center Pa practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Coastal Aesthetic Center Pa is 1114119393. The last update date is 2020-08-05.
Coastal Aesthetic Center Pa's current location address is Po Box 3123, Saint Augustine, Florida. You can contact this provider via phone number 9042451320 and fax number 8668782261. The mailing address for Coastal Aesthetic Center Pa is Po Box 3123, Saint Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Aesthetic Center Pa |
|---|---|
| Address | Po Box 3123, Saint Augustine, Florida |
| Phone Number | 9042451320 |
| Fax Number | 8668782261 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Vu Anh |
| Credentials | MD |
| Telephone Number | 9042451320 |
NPI Number Detail
| NPI Number | 1114119393 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2020-08-05 |
Provider Mailing Address Detail
| Address | Po Box 3123 |
|---|---|
| City | Saint Augustine |
| State | Florida (FL) |
| Post Code | 320853123 |
| Phone Number | 9042451320 |
| Fax Number | 8668782261 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | ME99062 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Coastal Aesthetic Center Pa?
The Coastal Aesthetic Center Pa has been issued the NPI (National Provider Identifier) 1114119393 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Coastal Aesthetic Center Pa?
The Coastal Aesthetic Center Pa is situated at Po Box 3123, in the city of Saint Augustine, state of FL, with the zip code 320853123.
What is Coastal Aesthetic Center Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Coastal Aesthetic Center Pa is Plastic And Reconstructive Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114119393 to Coastal Aesthetic Center Pa?
The Coastal Aesthetic Center Pa received its 1114119393 assignment from the Centers for Medicare & Medicaid Services on 2007-08-13.
As of what date was the information regarding Coastal Aesthetic Center Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Coastal Aesthetic Center Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-05.