| NPI | 1396819462 |
|---|---|
| Doing Business As | PROFESSIONAL PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGORY D HIELES President 941-925-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME42730) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-07-02 |