Organization
CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY A PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA L HENRY (OFFICE MANAGER)
(407) 898-1436
Entity
Organization
Contact information
Practice address
801 N ORANGE AVE STE 815, ORLANDO, FL 32801-5203
(407) 898-1436
(407) 898-6330
Mailing address
2501 N ORANGE AVENUE, SUITE 442, ORLANDO, FL 32804
(407) 898-1436
(407) 898-6330
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110014
AETNA
—
01
—
168900414910
HUMANA
—
01
—
51884
FL HOSP HEALTHCARE SYSTEM
FL
01
—
97149
BCBS OF FL
FL
Enumeration date
06/02/2006
Last updated
12/04/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us