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Organization

AZUL COSMETIC SURGERY & MEDICAL SPA PA

Active
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Organization

AZUL COSMETIC SURGERY & MEDICAL SPA PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK FLAHARTY MD (OWNER)
(239) 415-7576
Entity
Organization

Contact information

Practice address
13470 PARKER COMMONS BLVD, SUITE 101, FORT MYERS, FL 33912-1809
(239) 415-7576
Mailing address
PO BOX 07339, FORT MYERS, FL 33919-0339

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME63087
FL
208200000X
Plastic Surgery Physician
ME63087
FL

Other

Enumeration date
07/10/2006
Last updated
07/16/2008
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