FLORIDA PLASTIC SURGERY CENTER, LLC – NPI #1750596359
Clinic/Center

FLORIDA PLASTIC SURGERY CENTER, LLC is an AHC clinic located in BRADENTON, FL. NPPES has assigned the NPI number 1750596359 to FLORIDA PLASTIC SURGERY CENTER, LLC on May 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is BRADENTON PLASTIC SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 14 years ago on Oct 05, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLORIDA PLASTIC SURGERY CENTER, LLC below.

NPI Profile for
FLORIDA PLASTIC SURGERY CENTER, LLC

NPI Number
1750596359
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FLORIDA PLASTIC SURGERY CENTER, LLC
Former Legal Business Name: BRADENTON PLASTIC SURGERY CENTER, LLC
Primary location
1220 59TH ST W
BRADENTON, FL 34209-4154
Phone: (941) 795-2088 Fax: (941) 792-5139
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ENRIQUE FERNANDEZM
OWNER
Phone: (941) 795-2088
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 FL 1936

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.