Organization
NAPLES COSMETIC SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN FAVILLO (PRACTICE MANAGER)
(239) 348-4557
Entity
Organization
Contact information
Practice address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 348-4557
(239) 348-4957
Mailing address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 348-4557
(239) 348-4957
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME83491
FL
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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