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Organization
OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS
Active
Organization
OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JOSEPH LAQUIS MD (OWNER)
(239) 947-4042
Entity
Organization
Contact information
Practice address
7331 COLLEGE PARKWAY, SUITE 200, FORT MYERS, FL 33907
(239) 947-4042
(239) 390-9976
Mailing address
7331 COLLEGE PARKWAY, SUITE 200, FORT MYERS, FL 33907
(239) 947-4042
(239) 390-9976
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME82974
FL
207W00000X
Ophthalmology Physician
Primary
—
FL
Other
Enumeration date
06/09/2006
Last updated
01/26/2016
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