| NPI | 1023327673 |
|---|---|
| Other Name | PLASTIC SURGERY CENTER, P.A. |
| Entity Type | Organization |
| Authorized Contact | PATRICK MARK KELLEY President 850-769-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL ME0032802) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2011-07-05 |