# THE CENTER FOR FACIAL RESTORATION, INCORPORATED

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

## Provider details

- **NPI number:** 1861877979
- **Authorized official:** DR. RICHARD E DAVIS MD, FACS (PRESIDENT)
- **Authorized official phone:** (954) 442-5191

## Contact information

- **Practice address:** 1951 SW 172ND AVENUE, SUITE 205, MIRAMAR, FL 33029-5613
- **Practice address phone:** (954) 442-5191
- **Practice address fax:** (786) 228-2853
- **Mailing address:** 1951 SW 172ND AVENUE, SUITE 205, MIRAMAR, FL 33029-5613
- **Mailing address phone:** (954) 442-5191
- **Mailing address fax:** (786) 228-2853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | ME64358 | FL | Yes |

## Other

- **Enumeration date:** 07/30/2015
- **Last updated:** 07/30/2015