# OPHTHALMIC FACIAL PLASTIC SURGERY SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356382725
- **Authorized official:** STEPHEN JOSEPH LAQUIS MD (OWNER)
- **Authorized official phone:** (239) 947-4042

## Contact information

- **Practice address:** 7331 COLLEGE PARKWAY, SUITE 200, FORT MYERS, FL 33907
- **Practice address phone:** (239) 947-4042
- **Practice address fax:** (239) 390-9976
- **Mailing address:** 7331 COLLEGE PARKWAY, SUITE 200, FORT MYERS, FL 33907
- **Mailing address phone:** (239) 947-4042
- **Mailing address fax:** (239) 390-9976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME82974 | FL | — |
| 207W00000X | Ophthalmology Physician | — | FL | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 01/26/2016