Provider Demographics
NPI:1629425756
Name:DR. FABIO ARTISTIC PLASTIC SURGERY INC.
Entity Type:Organization
Organization Name:DR. FABIO ARTISTIC PLASTIC SURGERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FABIO
Authorized Official - Middle Name:ARTURO
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-932-9877
Mailing Address - Street 1:19495 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2318
Mailing Address - Country:US
Mailing Address - Phone:305-932-9877
Mailing Address - Fax:305-932-2098
Practice Address - Street 1:19495 BISCAYNE BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2318
Practice Address - Country:US
Practice Address - Phone:305-932-9877
Practice Address - Fax:305-932-2098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME874812086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty