Organization
ANTHONY AESTHETICS FACIAL PLASTIC SURGERY, PLLC
Active
Other names
Anthony Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RONALD ANTHONY II MD (SURGEON)
(727) 820-3223
Entity
Organization
Contact information
Practice address
1901 DR MARTIN LUTHER KING JR ST N STE B, ST PETERSBURG, FL 33704-4272
(305) 812-2962
Mailing address
1901 DR MARTIN LUTHER KING JR ST N STE B, ST PETERSBURG, FL 33704-4272
(305) 812-2962
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
01/06/2023
Last updated
11/06/2024
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