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Organization

FLORIDA PLASTIC SURGERY CENTER, LLC

Active
Other names
Bradenton Plastic Surgery Center, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ENRIQUE J FERNANDEZM M.D. (OWNER)
(941) 795-2088
Entity
Organization

Contact information

Practice address
1220 59TH ST W, BRADENTON, FL 34209-4154
(941) 795-2088
(941) 792-5139
Mailing address
1220 59TH ST W, BRADENTON, FL 34209-4154
(941) 795-2088
(941) 792-5139

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1936
FL

Other

Enumeration date
05/14/2007
Last updated
10/05/2012
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