Healthcare Provider Details

I. General information

NPI: 1992655732
Provider Name (Legal Business Name): SOUTH FLORIDA AESTHETIC AND RECONSTRUCTIVE SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2026
Last Update Date: 01/31/2026
Certification Date: 01/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 N CONGRESS AVE STE 335
BOYNTON BEACH FL
33426-8677
US

IV. Provider business mailing address

1880 N CONGRESS AVE STE 335
BOYNTON BEACH FL
33426-8677
US

V. Phone/Fax

Practice location:
  • Phone: 561-504-3645
  • Fax:
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: DR. GEORGE KAMEL
Title or Position: PLASTIC SURGEON
Credential: MD
Phone: 561-504-3645