NPI 1023592177

Lake Mary Plastic and Cosmetic Surgery PA

Organisation Plastic Surgery Physician Lake Mary, FL

Practice location

Address: 934 Williston Park PT STE 1028, Lake Mary, FL 32746-2165
Phone: (407) 333-2518
Fax: (407) 333-2521

Authorised official

Name: James Thomas Shoukas
Title: President
Phone: (904) 553-0737

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Florida →

Registry record

NPI: 1023592177
Entity type: Organization
NPI issued: 24 Sep 2018
Record last updated: 24 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.