Physician's Institute of Cosmetic and Reconstructive Surgery
Physician's Institute of Cosmetic and Reconstructive Surgery provides Specialist services in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
3449 Johnson StHollywood, FL 33021-5420
Phone: (954) 964-4113
Fax: (954) 963-8121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence ME62894 (FL) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence ME64761 (FL) |
Record details
| NPI number | 1770787087 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wanda Ditthardt — Office Manager · (954) 964-4113 |
| NPI enumerated | June 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3449 Johnson St, Hollywood, FL 33021-5420 |
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