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Organization
AESTHETIC SURGERY CENTER OF WINTER PARK, LLC
Active
Organization
AESTHETIC SURGERY CENTER OF WINTER PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M. HARTOG D.M.D., M.D. (MEDICAL DIRECTOR)
(321) 282-0561
Entity
Organization
Contact information
Practice address
4355 BEAR GULLY RD, WINTER PARK, FL 32792-9422
(321) 282-0561
(321) 282-0565
Mailing address
4355 BEAR GULLY RD, WINTER PARK, FL 32792-9422
(321) 282-0561
(321) 282-0565
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1199
FL
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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