Organization
FLORIDA PLASTIC & RECONSTRUCTIVE SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER NEWMAN D.O. (OWNER)
(727) 897-5444
Entity
Organization
Contact information
Practice address
7855 38TH AVE N, ST PETERSBURG, FL 33710-1152
(727) 897-5444
(800) 971-3437
Mailing address
16357 REDINGTON DR, REDINGTON BEACH, FL 33708-1547
(727) 897-5444
(800) 971-3437
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OS11081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002903300
—
FL
Enumeration date
08/25/2010
Last updated
05/16/2016
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