National Provider Identifier Database

AESTHETIC PLASTIC SURGEONS OF NO FLORIDA PA
Plastic and Reconstructive Surgery


Contact Information

AESTHETIC PLASTIC SURGEONS OF NO. FLORIDA, PA
4400 BAYOU BLVD
SUITE 23A
PENSACOLA, FL32503-2673
Phone: 850-476-5623
Fax: 850-476-1357
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for AESTHETIC PLASTIC SURGEONS OF NO. FLORIDA, PA

NPI Number 1861604084
Legal business name
LBN
AESTHETIC PLASTIC SURGEONS OF NO. FLORIDA, PA
Authorized official KIRK SMITH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 05/27/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME0058470
  • FL Other: ME0058470 FL MEDICAL LICENSE NUMBER

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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