| NPI | 1184375156 |
|---|---|
| Former Legal Business Name | OCULOFACIAL PLASTIC SURGERY CONSULTANTS, PA |
| Entity Type | Organization |
| Authorized Contact | RENZO ZALDIVAR Provider/Owner 919-443-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-03-26 |