| Plastic Surgery Boutique Llc | |
|
2601 Sw 37th Ave Ste 803 Miami FL 33133-2751 | |
| (305) 562-5859 | |
| Not Available |
| Full Name | Plastic Surgery Boutique Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2601 Sw 37th Ave Ste 803, Miami, Florida |
| Authorized Official Name and Position | Anne-sophie Lessard (MEDICAL DOCTOR) |
| Authorized Official Contact | 3057335560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plastic Surgery Boutique Llc 9008 Sw 215th St Cutler Bay FL 33189-3786 Ph: () - | Plastic Surgery Boutique Llc 2601 Sw 37th Ave Ste 803 Miami FL 33133-2751 Ph: (305) 562-5859 |
| NPI Number | 1528772027 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 0244604130 |
|---|---|
| Medicare Enrollment ID | O20230315002575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528772027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Anne-sophie Lessard |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1609309491 PECOS PAC ID: 0840536397 Enrollment ID: I20190104000676 |
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