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The Center For Facial Restoration, Incorporated
Otolaryngology/Facial Plastic Surgery Physician in Miramar, Florida
NPI 1861877979

The Center For Facial Restoration, Incorporated is a Otolaryngology/Facial Plastic Surgery Physician based in Miramar, FL and is specialized in Otolaryngology/Facial Plastic Surgery. The Center For Facial Restoration, Incorporated practices in Miramar, FL. The NPI Number for The Center For Facial Restoration, Incorporated is 1861877979 and holds a License No. ME64358 (Florida).

The current practice location address for The Center For Facial Restoration, Incorporated is 1951 Sw 172Nd Avenue, Miramar, FL and can be reached out via phone at 954-442-5191 and via fax at 786-228-2853.

Location: 1951 Sw 172Nd Avenue, Miramar, FL, 33029-5613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861877979
Provider Name
The Center For Facial Restoration, Incorporated
Credential
Provider Entity Type
Organization
Address
1951 Sw 172Nd Avenue, Miramar, FL, 33029-5613
Phone Number
954-442-5191
Fax Number
786-228-2853
Provider Enumeration Date
07/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346275443 01 FL INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1951 Sw 172Nd Avenue
City
Miramar
State
Florida
Zip
33029-5613
Phone Number
954-442-5191
Fax Number
786-228-2853
person
Provider Business Mailing Address Details
Address
1951 Sw 172Nd Avenue
City
Miramar
State
Florida
Zip
33029-5613
Phone Number
954-442-5191
Fax Number
786-228-2853
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
ME64358 (Florida)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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