Organization
BERMAX II LLC
Active
Other names
Clevens Center for Facial Cosmetic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS A CLEVENS MD (PRESIDENT)
(321) 727-3223
Entity
Organization
Contact information
Practice address
707 W EAU GALLIE BLVD, MELBOURNE, FL 32935-5958
(321) 727-3223
(321) 727-9448
Mailing address
707 W EAU GALLIE BLVD, MELBOURNE, FL 32935-5958
(321) 727-3223
(321) 727-9448
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME70285
FL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
ME70285
FL
Other
Enumeration date
11/02/2009
Last updated
04/23/2013
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