MIAMI PLASTIC SURGERY CENTER LLC (NPI# 1528439106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528439106 |
| Entity Type | Organization |
| Organization Name | MIAMI PLASTIC SURGERY CENTER LLC |
| Practice Address |
580 Crandon Blvd 201 Key Biscayne FL 33149-1832 |
| Practice Telephone | 3053657770 |
| Practice Fax Number | 3053657778 |
| Mailing Telephone | 3053657770 |
| Mailing Fax Number | 3053657778 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | ROGER K KHOURI (DOCTOR) |
| Authorized Official Telephone | 3053657770 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
580 CRANDON BLVD 201 |
| City | KEY BISCAYNE |
| State | FL |
| Zip Code | 33149-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871589168 | Susana Leal-khouri | Dermatology | 580 Crandon Blvd, # 101, Key Biscayne, FL 33149-1832 | 2005-09-22 |
| 1548632466 | Key Anesthesia LLC | Specialist | 580 Crandon Blvd, Suite 201, Key Biscayne, FL 33149-1832 | 2015-10-30 |
| 1063726099 | Miami Breast Center LLC | Specialist | 580 Crandon Blvd, 1st Floor, Key Biscayne, FL 33149-1832 | 2010-08-02 |
| 1477876696 | Key Biscayne Surgery Center LLC | Clinic/Center | 580 Crandon Blvd, Suite #301, Key Biscayne, FL 33149-1832 | 2010-03-02 |
| 1124225529 | Richard D Nadal | Plastic Surgery | 580 Crandon Blvd, Suite 102, Key Biscayne, FL 33149-1832 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629529433 | Manuel Alvarez Jacinto | Physician Assistant | 240 Crandon Blvd Ste 110, Key Biscayne, FL 33149 | 2016-10-17 |
| 1578012407 | Lidia Rubio | Marriage & Family Therapist | 181 Crandon Blvd, Apt 307, Key Biscayne, FL 33149 | 2016-10-04 |
| 1396138608 | Key Biscayne Pediatrics, P.a . / Jorge L. Bertran, Md. | Pediatrics | 604 Crandon Boulevard, Suite 202, Key Biscayne, FL 33149 | 2015-03-11 |
| 1679878615 | Herbert Kean | Otolaryngology | 799 Crandon Blvd, Apt 1407, Key Biscayne, FL 33149 | 2011-01-24 |
| 1922315399 | Glenn Meyer Abrahmsohn | Dentist | 260 Crandon Blvd., Suite 31, Key Biscayne, FL 33149 | 2010-09-08 |
| 1629218292 | Chia Ling Chow-watson | Massage Therapist | 455 Grand Bay Dr., Key Biscayne, FL 33149 | 2009-02-23 |
| 1750580668 | Neil Friedman | Dentist | 969 Crandon Blvd, Key Biscayne, FL 33149 | 2007-07-12 |
| 1144321829 | Carmen J. Ortiz-butcher | Internal Medicine | 971 Crandon Blvd, Suite 967, Key Biscayne, FL 33149 | 2006-09-26 |
| 1376646802 | Michael Lawrence Landau | Optometrist | 260 Crandon Blvd, Suite 44, Key Biscayne, FL 33149 | 2006-09-07 |
| 1518922004 | Khouri Laboratories, Inc | Dermatology | 180 Crandon Blvd, Ste #114, Key Biscayne, FL 33149 | 2006-04-19 |
| Find all providers in zip 33149 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265591580 | Carlos E Wiegering | Surgery | 240 Crandon Blvd, Suite 115, Key Biscayne, FL 33149-1543 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568025419 | Reinventme, LLC | Surgery | 13696 N Us Highway 441 Ste 100, Lady Lake, FL 32159-6815 | 2019-04-17 |
| 1750854378 | David Gerth Md Pa | Surgery | 4308 Alton Rd Ste 940, Miami Beach, FL 33140-4560 | 2019-01-07 |
| 1588165773 | Deepak Naidu Md, Pa | Surgery | 201 E Kennedy Blvd Ste 410, Tampa, FL 33602-3641 | 2018-02-23 |
| 1194225599 | Joseph Charles Gallagher Jr. | Surgery | 9201 Midnight Pass Rd, Sarasota, FL 34242-2921 | 2018-02-13 |
| 1043729569 | Renee Gasgarth, M.d. P.a. | Surgery | 7300 Sw 62nd Pl Ste 200, South Miami, FL 33143-4800 | 2017-09-27 |
| 1184150625 | Pamela Loftus | Surgery | 4454 Woodfield Blvd, Boca Raton, FL 33434-5310 | 2017-05-03 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| 1629482096 | Jill Swindell | Surgery | 1921 Waldemere St Ste 801, Sarasota, FL 34239-2913 | 2014-06-13 |
| 1205274784 | Melanie L Aya-ay Md Plastic Surgery Pl | Surgery | 17523 N Dale Mabry Hwy, Lutz, FL 33548-4521 | 2013-06-06 |
| 1790123487 | Jason Crespo | Surgery | 1250 Pine Ridge Rd Ste 101c, Naples, FL 34108-8913 | 2013-06-05 |
| Find all providers with the same taxonomy | ||||
| City | KEY BISCAYNE |
| Zip Code | 33149 |
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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.