Organization
AJG AESTHETICS P L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY THOMAS RNFA (PRACTICE MANAGER)
(727) 895-1515
Entity
Organization
Contact information
Practice address
1515 22ND AVE N, ST PETERSBURG, FL 33704-3113
(727) 895-1515
(727) 895-1511
Mailing address
1515 22ND AVE N, ST PETERSBURG, FL 33704-3113
(727) 895-1515
(727) 895-1511
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME0076386
FL
Other
Enumeration date
12/04/2008
Last updated
02/05/2009
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