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Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.
Specialist in Fort Myers, Florida
NPI 1255520714

Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. is a Specialist based in Fort Myers, FL. Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. practices in Fort Myers, FL. The NPI Number for Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. is 1255520714 and holds a License No. ME0068103 (Florida).

The current practice location address for Fort Myers Centre For Facial Plastic And Laser Surgery, Inc. is 15721 New Hampshire Ct, Fort Myers, FL and can be reached out via phone at 239-481-4911 and via fax at 239-481-6360.

Location: 15721 New Hampshire Ct, Fort Myers, FL, 33908-4176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255520714
Provider Name
Fort Myers Centre For Facial Plastic And Laser Surgery, Inc.
Credential
Provider Entity Type
Organization
Address
15721 New Hampshire Ct, Fort Myers, FL, 33908-4176
Phone Number
239-481-4911
Fax Number
239-481-6360
Provider Enumeration Date
10/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040012514 01 FL RAILROAD MEDICARE
32891 01 FL BCBS
5091536 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
15721 New Hampshire Ct
City
Fort Myers
State
Florida
Zip
33908-4176
Phone Number
239-481-4911
Fax Number
239-481-6360
person
Provider Business Mailing Address Details
Address
15721 New Hampshire Ct
City
Fort Myers
State
Florida
Zip
33908-4176
Phone Number
239-481-4911
Fax Number
239-481-6360
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0068103 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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