NPI 1649281346

John Bradford Fasano, MD

Practitioner Plastic Surgery Physician Stuart, FL

Practice location

Address: 509 SE Riverside Dr Suite 206, Stuart, FL 34994-2579
Phone: (772) 221-9111

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 61260 (FL)

Other Plastic Surgery providers in Florida →

Registry record

NPI: 1649281346
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2006
Record last updated: 8 Jul 2007

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.