THE CENTER FOR FACIAL RESTORATION, INCORPORATED (NPI# 1861877979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861877979 |
| Entity Type | Organization |
| Organization Name | THE CENTER FOR FACIAL RESTORATION, INCORPORATED |
| Practice Address |
1951 Sw 172nd Avenue Suite 205 Miramar FL 33029-5613 |
| Practice Telephone | 9544425191 |
| Practice Fax Number | 7862282853 |
| Mailing Telephone | 9544425191 |
| Mailing Fax Number | 7862282853 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | DR. RICHARD E DAVIS (PRESIDENT) |
| Authorized Official Telephone | 9544425191 |
| Authorized Official Credential | MD, FACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
ME64358 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | INDIVIDUAL NPI | 1346275443 | 01 |
| Street Address |
1951 SW 172ND AVENUE SUITE 205 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33029-5613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164825105 | Ingry Alexandra Jaramillo | Nurse Practitioner | 1951 Sw 172nd Avenue, Suite 204, Miramar, FL 33029 | 2014-10-05 |
| 1649623489 | Kristen Sawyer | Nurse Practitioner | 1951 Sw 172nd Avenue, Ste 408, Miramar, FL 33029-5614 | 2016-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| 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 Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346275443 | Richard Davis | Otolaryngology | 1951 Sw 172nd Ave, Suite 205, Miramar, FL 33029-5593 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740832799 | Aspire Allergy & Sinus of Florida Pllc | Otolaryngology | 31800 Us Highway 19 N, Palm Harbor, FL 34684-3713 | 2019-07-10 |
| 1376970731 | Accent Physician Specialists, P.a. | Otolaryngology | 438 Sw Perimeter Gln, Suite 100, Lake City, FL 32025-0497 | 2013-10-01 |
| 1306190889 | Elliott Solomon | Otolaryngology | 4381 White Cedar Lane, Delray Beach, FL 33445 | 2012-11-05 |
| 1992036933 | Don N. Lerner, Md, P.a. | Otolaryngology | 836 Prudential Dr Ste 1802, Suite 1802, Jacksonville, FL 32207-8345 | 2010-01-14 |
| 1710143987 | Broward Head Neck and Facial Plastic Surgery Pa | Otolaryngology | 2671 Riviera Mnr, Weston, FL 33332-3422 | 2008-08-06 |
| 1356517767 | Jeremy Boyd White | Otolaryngology | 20950 Ne 27th Ct Ste 302, Arc Plastic Surgery, Aventura, FL 33180-1232 | 2008-05-06 |
| 1073709127 | Burger Zapf | Otolaryngology | 411 Walnut St, Green Cove Springs, FL 32043-3443 | 2007-09-22 |
| 1639360258 | Beaches Facial and Nasal Surgery Center | Otolaryngology | 1361 13th Ave S Ste 125, Jacksonville Beach, FL 32250-3260 | 2007-08-08 |
| 1851509889 | Kapil Saigal | Otolaryngology | 1035 N Orlando Ave Ste 205, Winter Park, FL 32789-2213 | 2007-05-21 |
| 1790853091 | Linda J Gardiner | Otolaryngology | 9771 Cypress Lake Dr, Fort Myers, FL 33919-6063 | 2006-12-04 |
| 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.