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NPI Code Detail

MEDICARE: AESTHETIC CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY, LLP

MEDICARE: AESTHETIC CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY, LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12082S0105XSurgery of the Hand (Plastic Surgery) PhysicianFL
22086S0122XPlastic and Reconstructive Surgery PhysicianFL

General Provider Information

NPI Number : 1104877729
Entity Type Code : Organization
Provider Name (Legal Business Name) : AESTHETIC CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY, LLP
Provider Business Mailing Address
First Line : 3320 SW 34TH CIR
Second Line :
City : OCALA
State : FL
Zip : 34474-3371
Country : US
Telephone Number : 352-629-8154
Fax Number : 352-629-5231
Provider Business Practice Location Address
First Line : 3320 SW 34TH CIR
Second Line :
City : OCALA
State : FL
Zip : 34474-3371
Country : US
Telephone Number : 352-629-8154
Fax Number : 352-629-5231
Authorized Official
Title or Position : PARTNER
Name : DR. JAMES H ROGERS
Credential : M.D.
Telephone Number : 352-629-8154
Provider Enumeration Date : 05/16/2006
Last Update Date : 01/22/2015

Similar Medicare Providers

1629071089 — JAMES H ROGERS M.D.
Practice Location Address:
3320 SW 34TH CIR
OCALA, FL
34474-3371
Practice Phone: 352-629-8154
Practice Fax: 352-629-5231
1932106119 — PADDOCK PARK SURGERY CENTER L L C
Practice Location Address:
3320 SW 34TH CIR
OCALA, FL
34474-3371
Practice Phone: 352-479-0149
Practice Fax: 352-629-5231
1639164619 — DR. NAVINDERDEEP SINGH NIJHER M.D.
Practice Location Address:
3320 SW 34TH CIR
OCALA, FL
34474-3371
Practice Phone: 352-629-8154
Practice Fax: 352-629-5231
1578558557 — DR. LEONIK ANGELO AHUMADA M.D.
Practice Location Address:
3320 SW 34TH CIR
OCALA, FL
34474-3371
Practice Phone: 352-629-8154
Practice Fax: 352-629-5231
1295770030 — MS. PAMELA ANN FAUST RN.BSN,CNOR,RNFA
Practice Location Address:
3320 SW 34TH CIR
OCALA, FL
34474-3371
Practice Phone: 352-629-8154
Practice Fax: 352-629-5231
1265661680 — DR. JESSIN HELMRICK-BLOSSOM M.D.
Practice Location Address:
3320 SW 34TH CIR
OCALA, FL
34474-3371
Practice Phone: 352-629-8154
Practice Fax: 352-629-5231

Directions to “AESTHETIC CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY, LLP ” Practice Location

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