Organization
THE PALM BEACH CENTER FOR FACIAL PLASTIC & LASER SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN PAUL AZZI M.D. (OWNER)
(561) 429-5403
Entity
Organization
Contact information
Practice address
4495 MILITARY TRL STE 202, JUPITER, FL 33458
(561) 429-5403
(561) 626-6277
Mailing address
4495 MILITARY TRL, SUITE 202, JUPITER, FL 33458-4839
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
ME117560
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
ME134770
FL
Other
Enumeration date
05/02/2014
Last updated
08/27/2018
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