Organization
CENTER FOR AESTHETIC PLASTIC SURGERY PA
Active
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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