Organization
LAKE MARY PLASTIC AND COSMETIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS SHOUKAS MD (PRESIDENT)
(904) 553-0737
Entity
Organization
Contact information
Practice address
934 WILLISTON PARK PT STE 1028, LAKE MARY, FL 32746-2165
(407) 333-2518
(407) 333-2521
Mailing address
934 WILLISTON PARK PT STE 1028, LAKE MARY, FL 32746-2165
(407) 333-2518
(407) 333-2521
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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