Organization
AESTHETIC PLASTIC SURGEONS OF NO. FLORIDA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK M. SMITH M.D. (PRESIDENT)
(850) 476-5623
Entity
Organization
Contact information
Practice address
4400 BAYOU BLVD, SUITE 23A, PENSACOLA, FL 32503-2673
(850) 476-5623
(850) 476-1357
Mailing address
4400 BAYOU BLVD, SUITE 23A, PENSACOLA, FL 32503-2673
(850) 476-5623
(850) 476-1357
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME0058470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0058470
FL MEDICAL LICENSE NUMBER
FL
Enumeration date
05/03/2007
Last updated
05/27/2008
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