Organization
AESTHETIC SURGERY CENTER OF WINTER PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M. HARTOG D.M.D., M.D. (MEDICAL DIRECTOR)
(321) 282-0561
Entity
Organization
Contact information
Practice address
4355 BEAR GULLY RD, WINTER PARK, FL 32792-9422
(321) 282-0561
(321) 282-0565
Mailing address
4355 BEAR GULLY RD, WINTER PARK, FL 32792-9422
(321) 282-0561
(321) 282-0565
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1199
FL
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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