Healthcare Provider Details

I. General information

NPI: 1023940855
Provider Name (Legal Business Name): DR BRANDON PLASTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 DOUGLAS RD STE 510
CORAL GABLES FL
33134-6100
US

IV. Provider business mailing address

2600 DOUGLAS RD STE 510
CORAL GABLES FL
33134-6100
US

V. Phone/Fax

Practice location:
  • Phone: 305-503-3131
  • Fax:
Mailing address:
  • Phone: 305-503-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BRANDON ELNEKAVEH
Title or Position: OWNER
Credential: MD
Phone: 305-503-3131