| NPI | 1750596359 |
|---|---|
| Former Legal Business Name | BRADENTON PLASTIC SURGERY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | ENRIQUE J FERNANDEZM Owner 941-795-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1936) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-10-05 |