| NPI | 1801989884 |
|---|---|
| Doing Business As | SOUTHEASTERN PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | BEN J KIRBO Surgeon/Owner 850-219-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-11-10 |