Daytona Plastic Surgery, P.l.
Daytona Plastic Surgery, P.l. is a Clinic/Center in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2012.
- Licensed in
- FL
- In the registry since
- 2012
Practice location Address checks out
4606 S Clyde Morris Blvd Ste 1 LPort Orange, FL 32129-6404
Phone: (386) 756-9009
Fax: (386) 756-3006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence ME 62606 (FL) |
|---|
Record details
| NPI number | 1073883971 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vijay Moradia — Managing Member · (386) 756-9009 |
| NPI enumerated | January 9, 2012 |
| Last updated in NPPES | January 9, 2012 |
| Mailing address | 4606 S Clyde Morris Blvd, Suite 1 L, Port Orange, FL 32129-6404 |
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