Provider Demographics
NPI:1922491869
Name:THE PLASTIC SURGERY INSTITUTE OF MIAMI LLC
Entity Type:Organization
Organization Name:THE PLASTIC SURGERY INSTITUTE OF MIAMI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:PARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-501-2400
Mailing Address - Street 1:550 BILTMORE WAY STE 120
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5779
Mailing Address - Country:US
Mailing Address - Phone:305-501-2400
Mailing Address - Fax:
Practice Address - Street 1:550 BILTMORE WAY STE 120
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5779
Practice Address - Country:US
Practice Address - Phone:305-501-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208200000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty