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Organization

STERLING PLASTIC & RECONSTRUCTIVE SURGEONS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK E MATHIESON MD (OWNER)
(941) 366-5476
Entity
Organization

Contact information

Practice address
1950 ARLINGTON ST, STE 112, SARASOTA, FL 34239-3507
(941) 366-5476
(941) 866-7388
Mailing address
1950 ARLINGTON ST, STE 112, SARASOTA, FL 34239-3507
(941) 366-5476
(941) 866-7388

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME128227
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME128227
STATE LICENSE
FL
Enumeration date
06/01/2016
Last updated
11/13/2017
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