Organization
CENTER FOR AESTHETIC PLASTIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UTPALKUMAR PATEL M.D., PHD (OWNER)
(352) 796-3334
Entity
Organization
Contact information
Practice address
17222 HOSPITAL BLVD STE 346, BROOKSVILLE, FL 34601-8925
(352) 796-3334
(352) 796-3323
Mailing address
17222 HOSPITAL BLVD STE 346, BROOKSVILLE, FL 34601-8925
(352) 796-3334
(352) 796-3323
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME73174
FL
208200000X
Plastic Surgery Physician
ME79778
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA2302
RAILROAD MEDICARE
FL
Enumeration date
05/17/2006
Last updated
12/17/2025
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