# FLORIDA PLASTIC & RECONSTRUCTIVE SURGERY, LLC

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

## Provider details

- **NPI number:** 1598071730
- **Authorized official:** DR. CHRISTOPHER NEWMAN D.O. (OWNER)
- **Authorized official phone:** (727) 897-5444

## Contact information

- **Practice address:** 7855 38TH AVE N, ST PETERSBURG, FL 33710-1152
- **Practice address phone:** (727) 897-5444
- **Practice address fax:** (800) 971-3437
- **Mailing address:** 16357 REDINGTON DR, REDINGTON BEACH, FL 33708-1547
- **Mailing address phone:** (727) 897-5444
- **Mailing address fax:** (800) 971-3437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OS11081 | FL | Yes |

## Other

- **Enumeration date:** 08/25/2010
- **Last updated:** 05/16/2016