Healthcare Provider Details

I. General information

NPI: 1538006010
Provider Name (Legal Business Name): ATHENARECON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 SE MONTEREY COMMONS BLVD
STUART FL
34996-3339
US

IV. Provider business mailing address

903 SE MONTEREY COMMONS BLVD # 903
STUART FL
34996-3339
US

V. Phone/Fax

Practice location:
  • Phone: 772-324-8197
  • Fax: 772-324-8143
Mailing address:
  • Phone: 772-324-8197
  • Fax: 772-324-8143

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. AVRON LIPSCHITZ
Title or Position: CEO
Credential: MD
Phone: 772-324-8197