Organization
SOUTHEASTERN PLASTIC SURGERY, P.A.
Active
Other names
Southeastern Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN J KIRBO M.D. (SURGEON/OWNER)
(850) 219-2000
Entity
Organization
Contact information
Practice address
2030 FLEISCHMANN RD, TALLAHASSEE, FL 32308
(850) 219-2000
(850) 877-2138
Mailing address
2030 FLEISCHMANN RD, TALLAHASSEE, FL 32308
(850) 219-2000
(850) 877-2138
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
11/10/2016
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