# HILLSTROM FACIAL PLASTIC SURGERY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wright Spellman Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104051978
- **Authorized official:** HARRY VERNON WRIGHT (PRESIDENT)
- **Authorized official phone:** (941) 355-3223

## Contact information

- **Practice address:** 6310 HEALTH PARK WAY STE 110, LAKEWOOD RANCH, FL 34202-5177
- **Practice address phone:** (941) 355-3223
- **Practice address fax:** (941) 358-9749
- **Mailing address:** BOX 195, 8374 MARKET STREET, BRADENTON, FL 34202-5137
- **Mailing address phone:** (941) 355-3223
- **Mailing address fax:** (941) 358-9749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | ME54913 | FL | — |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | ME54913 | FL | Yes |

## Other

- **Enumeration date:** 05/22/2009
- **Last updated:** 10/13/2025
