Organization
PALM BEACH PLASTIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PRINS (CREDENTIALING MANAGER)
(909) 307-8503
Entity
Organization
Contact information
Practice address
641 UNIVERSITY BLVD, SUITE 103, JUPITER, FL 33458-2791
(561) 776-2830
(561) 296-4156
Mailing address
641 UNIVERSITY BLVD, SUITE 103, JUPITER, FL 33458-2791
(561) 776-2830
(561) 296-4156
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME84988
FL
Other
Enumeration date
07/09/2008
Last updated
04/09/2009
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