NPI | 1972277895 |
---|---|
Doing Business As | LEYNGOLD INSTITUTE FOR PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | ILYA M LEYNGOLD Medical Director 904-233-1269 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2021-08-04 |
Last Update Date | 2022-03-07 |