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Contact Information

ADVANCED SURGICAL RECONSTRUCTION IN
110 WASHINGTON AVE APT 1623
MIAMI BEACH, FL33139-7224
 Phone: 954-224-0555
 Fax: 954-840-8254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADVANCED SURGICAL RECONSTRUCTION IN · (Female)

NPI Number 1619724366
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2024
Last updated 05/01/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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