Organization
DAVID A LICKSTEIN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALAN LICKSTEIN (OWNER)
(561) 571-4000
Entity
Organization
Contact information
Practice address
5540 PGA BLVD, SUITE 200, PALM BEACH GARDENS, FL 33418-3987
(561) 847-0970
(561) 508-8890
Mailing address
5540 PGA BLVD, SUITE 200, PALM BEACH GARDENS, FL 33418-3987
(561) 571-4000
(561) 508-8890
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME84765
FL
Other
Enumeration date
09/20/2016
Last updated
03/12/2020
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