Organization
STERLING PLASTIC & RECONSTRUCTIVE SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EUGENE MATHIESON M.D. (PHYSICIAN)
(941) 918-8800
Entity
Organization
Contact information
Practice address
8800 S TAMIAMI TRL STE A, SARASOTA, FL 34238
(941) 918-8330
(941) 918-8332
Mailing address
PO BOX 19596, BELFAST, ME 04915-4090
(941) 918-8330
(941) 918-8332
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2331631
—
OH
01
—
ME128227
MEDICAL LICENSE
FL
Enumeration date
05/15/2007
Last updated
07/07/2019
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