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Organization
F. NICHOLAS GAHHOS MD PA
Active
Organization
F. NICHOLAS GAHHOS MD PA
Active
Other names
Aesthetic Plastic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
F NICHOLAS GAHHOS MD PA (MEDICAL DIRECTOR)
(941) 484-6836
Entity
Organization
Contact information
Practice address
135 SAN MARCO DR, VENICE, FL 34285
(941) 484-6836
(941) 484-9690
Mailing address
135 SAN MARCO DR, VENICE, FL 34285-3231
(941) 484-6836
(941) 484-9690
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490005250
RAILROAD MEDICARE
—
01
—
61P
BC/BS
FL
Enumeration date
07/12/2006
Last updated
11/08/2011
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