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NPI Code Detail

MEDICARE: BODY CONTOURING INC

MEDICARE: BODY CONTOURING INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician96314FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720319403
Entity Type Code : Organization
Provider Name (Legal Business Name) : BODY CONTOURING INC
Provider Business Mailing Address
First Line : PO BOX 4542
Second Line :
City : TAMPA
State : FL
Zip : 33677-4542
Country : US
Telephone Number : 813-489-6212
Fax Number : 813-489-6214
Provider Business Practice Location Address
First Line : 301 W PLATT ST
Second Line : #30
City : TAMPA
State : FL
Zip : 33606-2292
Country : US
Telephone Number : 813-489-6212
Fax Number : 813-489-6214
Authorized Official
Title or Position : PRESIDENT
Name : LUIS APONTE
Credential : MD
Telephone Number : 813-489-6212
Provider Enumeration Date : 01/20/2010
Last Update Date : 10/25/2012

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Directions to “BODY CONTOURING INC ” Practice Location

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