Healthcare Provider Details

I. General information

NPI: 1336074475
Provider Name (Legal Business Name): MICHAEL PLASTINI MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5503 N FEDERAL HWY
BOCA RATON FL
33487-4043
US

IV. Provider business mailing address

PO BOX 25118
TAMPA FL
33622-5118
US

V. Phone/Fax

Practice location:
  • Phone: 954-448-3417
  • Fax: 561-912-0943
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL PLASTINI
Title or Position: MD/PRACTICE OWNER
Credential: MD
Phone: 954-448-3417