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NPI 1346630431

NPI 1346630431 : MICHAEL ANTHONY PLASTINI M.D : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1346630431
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL ANTHONY PLASTINI M.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/28/2015
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    Last Update Date     |    01/09/2025
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Provider Practice Location Address
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    Address Line         |    5503 N FEDERAL HWY 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33487-4043
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    Country              |    US
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    Telephone            |    561-220-6360
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    756 DOVER ST 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33487-3111
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    Country              |    US
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    Telephone            |    954-448-3417
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    ME150679
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2086S0122X
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    Taxonomy Name        |    Plastic and Reconstructive Surgery Physician
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    License Number       |    ME150679
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    License Number State |    FL
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