Organization
NEW IMAGE COSMETIC SURGERY CENTER, INC.
Active
Other names
New Image Cosmetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA D. JACOBSON (CEO)
(954) 424-8882
Entity
Organization
Contact information
Practice address
10167 W SUNRISE BLVD, SUITE 104, PLANTATION, FL 33322-7619
(954) 424-8882
(954) 424-8858
Mailing address
10167 W SUNRISE BLVD, SUITE 104, PLANTATION, FL 33322-7619
(954) 424-8882
(954) 424-8858
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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