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Organization

FLORIDA INSTITUTE OF PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS CAUDILL (OFFICE MANAGER)
(352) 325-5555
Entity
Organization

Contact information

Practice address
8550 NE 138TH LN STE 102, LADY LAKE, FL 32159-6816
(352) 325-5555
(346) 202-0106
Mailing address
8550 NE 138TH LN STE 102, LADY LAKE, FL 32159-6816
(352) 325-5555
(346) 202-0106

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
09/12/2023
Last updated
04/19/2024
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