Organization
COSMETIC MEDICINE ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA HARRELL (OWNER)
(727) 781-0818
Entity
Organization
Contact information
Practice address
34156 US HWY 19 N, PALM HARBOR, FL 34684
(727) 781-0818
(727) 787-7512
Mailing address
34156 US HWY 19 N, PALM HARBOR, FL 34684
(727) 781-0818
(727) 787-7512
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
11/07/2017
Last updated
02/20/2019
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