Provider Demographics
NPI:1144411794
Name:BIOSCULPTOR CORPORATION
Entity Type:Organization
Organization Name:BIOSCULPTOR CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FINNIESTON
Authorized Official - Suffix:
Authorized Official - Credentials:CPO/LPO
Authorized Official - Phone:305-823-8300
Mailing Address - Street 1:2480 W 82ND ST UNIT 8
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2754
Mailing Address - Country:US
Mailing Address - Phone:305-823-8300
Mailing Address - Fax:305-823-8304
Practice Address - Street 1:2480 W 82ND ST UNIT 8
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2754
Practice Address - Country:US
Practice Address - Phone:305-823-8300
Practice Address - Fax:305-823-8304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier