NPI 1790271096

Rsm Plastic Surgery, PA

Organisation Plastic Surgery Physician Lake Mary, FL

Practice location

Address: 3300 W Lake Mary Blvd STE 210, Lake Mary, FL 32746-3499
Phone: (863) 899-9736
Mailing address: 3300 West Lake Mary Blvd Suite 210, Lake Mary, FL 32746

Authorised official

Name: Kandice King
Title: Credentialing Specialist
Phone: (847) 228-3303

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence ME136100 (FL)

Other Plastic Surgery providers in Florida →

Registry record

NPI: 1790271096
Entity type: Organization
NPI issued: 10 Jul 2018
Record last updated: 21 Aug 2019

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.