# AZUL COSMETIC SURGERY & MEDICAL SPA PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1952335945
- **Authorized official:** PATRICK FLAHARTY MD (OWNER)
- **Authorized official phone:** (239) 415-7576

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME63087 | FL | Yes |
| 208200000X | Plastic Surgery Physician | ME63087 | FL | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 07/16/2008