| NPI | 1326374901 |
|---|---|
| Doing Business As | CLEVENS CENTER FOR FACIAL COSMETIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | ROSS A CLEVENS President 321-727-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: FL ME70285) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME70285) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2013-04-23 |