PLASTICG LLC – NPI #1992094684
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

PLASTICG LLC is a surgeon located in LAKELAND, FL. NPPES has assigned the NPI number 1992094684 to PLASTICG LLC on April 03, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on Sep 22, 2020. 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 PLASTICG LLC below.

NPI Profile for
PLASTICG LLC

NPI Number
1992094684
Enumeration Date

(more than 15 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
PLASTICG LLC
Primary location
4429 FLORIDA NATIONAL DR
LAKELAND, FL 33813-1516
Phone: (863) 647-2200 Fax: (888) 854-1888
1 Other location(s):
3000 Medical Park Dr
Tampa, FL 33613-4680
Phone: (813) 616-3338
Fax: (888) 854-1888
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACOB GERZENSHTEIN
OWNER
Phone: (813) 616-3338
Updated
Certification Date
Sep 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.