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Contact Information

PLASTICG LLC
4429 FLORIDA NATIONAL DR
LAKELAND, FL33813-1516
 Phone: 863-647-2200
 Fax: 888-854-1888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PLASTICG LLC · (Female)

NPI Number 1992094684
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2011
Last updated 09/22/2020 - About 6 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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