# ORLANDO COSMETIC SURGERY LLC DBA ALTIORA PLASTIC SURGERY & MED SPA

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

## Provider details

- **NPI number:** 1912938598
- **Authorized official:** DR. ORLANDO JOSEPH CICILIONI JR. M.D. (SENIOR PHYSICIAN)
- **Authorized official phone:** (941) 388-1110

## Contact information

- **Practice address:** 2501 N ORANGE AVE, SUITE 209, ORLANDO, FL 32804-4603
- **Practice address phone:** (407) 681-3223
- **Practice address fax:** (407) 681-0976
- **Mailing address:** PO BOX 8670, LONGBOAT KEY, FL 34228
- **Mailing address phone:** (941) 388-1110
- **Mailing address fax:** (941) 388-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME0065746 | FL | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 03/17/2018