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Organization
FLORIDA PLASTIC SURGERY CENTER, LLC
Active
Organization
FLORIDA PLASTIC SURGERY CENTER, LLC
Active
Other names
Bradenton Plastic Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE J FERNANDEZM M.D. (OWNER)
(941) 795-2088
Entity
Organization
Contact information
Practice address
1220 59TH ST W, BRADENTON, FL 34209-4154
(941) 795-2088
(941) 792-5139
Mailing address
1220 59TH ST W, BRADENTON, FL 34209-4154
(941) 795-2088
(941) 792-5139
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1936
FL
Other
Enumeration date
05/14/2007
Last updated
10/05/2012
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