Healthcare Provider Details

I. General information

NPI: 1033088372
Provider Name (Legal Business Name): DB FACIAL PLASTIC SURGERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 3RD AVE S STE 501
NAPLES FL
34102-6538
US

IV. Provider business mailing address

1333 3RD AVE S STE 501
NAPLES FL
34102-6538
US

V. Phone/Fax

Practice location:
  • Phone: 239-999-4541
  • Fax:
Mailing address:
  • Phone: 239-999-4541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIELA BURCHHARDT
Title or Position: OWNER
Credential:
Phone: 239-999-4541