National Provider Identifier Database

PLASTICG LLC
Plastic and Reconstructive Surgery


Contact Information

PLASTICG LLC
4429 FLORIDA NATIONAL DR
LAKELAND, FL33813-1516
Phone: 863-647-2200
Fax: 888-854-1888
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Plastic Surgery 208200000X
Plastic Surgery Within the Head and Neck 2082S0099X
Surgery of the Hand 2082S0105X
Undersea and Hyperbaric Medicine 2083P0011X
Undersea and Hyperbaric Medicine 207PE0005X

* Indicates primary specialty

NPI Profile & details for PLASTICG LLC

NPI Number 1992094684
Legal business name
LBN
PLASTICG LLC
Authorized official JACOB GERZENSHTEIN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/03/2011
Last updated 09/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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