FLORIDA PLASTIC SURGERY CENTER, LLC (NPI# 1750596359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750596359 |
| Entity Type | Organization |
| Organization Name | FLORIDA PLASTIC SURGERY CENTER, LLC |
| Other Organization Name | BRADENTON PLASTIC SURGERY CENTER, LLC |
| Practice Address |
1220 59th St W Bradenton FL 34209-4154 |
| Practice Telephone | 9417952088 |
| Practice Fax Number | 9417925139 |
| Mailing Telephone | 9417952088 |
| Mailing Fax Number | 9417925139 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | DR. ENRIQUE J FERNANDEZM (OWNER) |
| Authorized Official Telephone | 9417952088 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1936 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bradenton Plastic Surgery Center, LLC | Former Legal Business Name - Organization |
| Street Address |
1220 59TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053838870 | Universal Wellness Group | Family Medicine | 1220 59th St W, Bradenton, FL 34209 | 2017-08-23 |
| 1801148432 | Bradenton Plastic Surgery, P. A. | Plastic Surgery | 1220 59th St W, Bradenton, FL 34209-4154 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417192022 | Ips of Jacksonville LLC | Clinic/Center | 4754 E State Road 64, Bradenton, FL 34208-9058 | 2008-12-10 |
| 1760627830 | Musculoskeletal Ambulatory Surgery Center, Inc. | Clinic/Center | 1917 Worth Ct, Bradenton, FL 34211-2110 | 2008-12-03 |
| 1588839609 | Riverwalk Ambulatory Surgery Center LLC | Clinic/Center | 200 3rd Ave W., Ste 170, Bradenton, FL 34205-8632 | 2008-04-29 |
| 1508879446 | West Florida Surgery Center Inc | Clinic/Center | 5817 21st Ave W, Bradenton, FL 34209-5641 | 2006-08-14 |
| 1851354377 | Manatee Surgicare Ltd | Clinic/Center | 411 2nd St E, Bradenton, FL 34208-1001 | 2006-04-07 |
| 1568460889 | Eye Associates of Manatee LLP | Clinic/Center | 6002 Pointe West Blvd, Bradenton, FL 34209-5531 | 2005-07-11 |
| 1639237092 | Musculoskeletal Ambulatory Surgery Center Inc | Clinic/Center | 6015 Pointe West Blvd, Bradenton, FL 34209-5532 | 2006-12-05 |
| 1225077241 | Cortez Foot Surgery Center, P.a. | Clinic/Center | 1800 Cortez Rd W, Suite B, Bradenton, FL 34207-1335 | 2006-06-05 |
| 1508857871 | Manatee Surgical Center, LLC | Clinic/Center | 601 Manatee Ave W, Bradenton, FL 34205-8610 | 2005-11-04 |
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|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.