| NPI | 1841509635 |
|---|---|
| Former Legal Business Name | FLORIDA COASTAL PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | ROBIN RENEE HAMLIN Owner 941-798-9777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME87555) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |