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Contact Information

HILLSTROM FACIAL PLASTIC SURGERY PA
6310 HEALTH PARK WAY STE 110
LAKEWOOD RANCH, FL34202-5177
 Phone: 941-355-3223
 Fax: 941-358-9749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for HILLSTROM FACIAL PLASTIC SURGERY PA · (Female)

NPI # 1104051978
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2009
Last updated 10/13/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME54913
  • FL Other P00078356 RAILROAD
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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