National Provider Identifier Database

BEAUTY MARK PLASTIC SURGERY PA
Plastic and Reconstructive Surgery


Contact Information

BEAUTY MARK PLASTIC SURGERY, PA
100 NW 82ND AVE
SUITE 405
PLANTATION, FL33324-7809
Phone: 954-474-3792
Fax: 954-474-3795
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for BEAUTY MARK PLASTIC SURGERY, PA

NPI Number 1184997470
Legal business name
LBN
BEAUTY MARK PLASTIC SURGERY, PA
Authorized official ALBERIK KESHISHIAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/16/2012
Last updated 02/16/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: OS 10442

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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