NPI | 1003111923 |
---|---|
Doing Business As | OCEAN DRIVE PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | ALAN J DURKIN Owner 772-234-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME99004) |
Additional Taxonomies | 207N00000X Dermatology |
207ND0101X Dermatology, MOHS-Micrographic Surgery | |
208200000X Plastic Surgery | |
208600000X Surgery | |
2086X0206X Surgery, Surgical Oncology | |
Enumeration Date | 2011-01-25 |
Last Update Date | 2021-11-10 |