Organization
LA PLASTIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA LACERNA-KIMBRELL MD (PRESIDENT)
(941) 954-4500
Entity
Organization
Contact information
Practice address
1274 N PALM AVE, SARASOTA, FL 34236-5604
(941) 954-4500
(941) 954-4555
Mailing address
1274 N PALM AVE, SARASOTA, FL 34236-5604
(941) 954-4500
(941) 954-4555
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME109505
FL
Other
Enumeration date
10/17/2013
Last updated
03/08/2017
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