Organization
KINGSTONDEV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMA MADDOX MD (SURGEON)
(504) 249-3805
Entity
Organization
Contact information
Practice address
7800 US HIGHWAY 98 W, MIRAMAR BEACH, FL 32550-7228
(504) 249-3805
Mailing address
508 MILLAUDON ST, NEW ORLEANS, LA 70118-3805
(504) 881-3652
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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