Healthcare Provider Details

I. General information

NPI: 1962889204
Provider Name (Legal Business Name): VANGUARD PLASTIC SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 NE 9TH ST STE 300
FT LAUDERDALE FL
33304-3590
US

IV. Provider business mailing address

2320 NE 9TH ST STE 300
FT LAUDERDALE FL
33304-3590
US

V. Phone/Fax

Practice location:
  • Phone: 954-563-4500
  • Fax: 954-530-0399
Mailing address:
  • Phone: 954-563-4500
  • Fax: 954-530-0399

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 DRESZER
Title or Position: MEMBER
Credential: MD
Phone: 954-563-4500