Organization
THE CENTER FOR FACIAL RESTORATION, INCORPORATED
Active
Organization
THE CENTER FOR FACIAL RESTORATION, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E DAVIS MD, FACS (PRESIDENT)
(954) 442-5191
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVENUE, SUITE 205, MIRAMAR, FL 33029-5613
(954) 442-5191
(786) 228-2853
Mailing address
1951 SW 172ND AVENUE, SUITE 205, MIRAMAR, FL 33029-5613
(954) 442-5191
(786) 228-2853
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME64358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346275443
INDIVIDUAL NPI
FL
Enumeration date
07/30/2015
Last updated
07/30/2015
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