ELITE SURGERY CENTER, LLC (NPI# 1962960146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962960146 |
| Entity Type | Organization |
| Organization Name | ELITE SURGERY CENTER, LLC |
| Practice Address |
5301 4th Ave Circle E Bradenton FL 34208 |
| Practice Telephone | 9419544500 |
| Mailing Telephone | 9419544500 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | MELINDA L LACERNA KIMBRELL (MANAGER/MEMBER) |
| Authorized Official Telephone | 9419544500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396277208 | Elite Surgery Center, LLC | Clinic/Center | 38920 Trade Center Dr, Palmdale, CA 93551-3715 | 2017-03-30 |
| Street Address |
5301 4TH AVE CIRCLE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| 1164824694 | Bendji Thony | Nurse Practitioner | 806 29th St Ct E, Bradenton, FL 34208 | 2014-09-16 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902954720 | Melinda L Lacerna-kimbrell | Plastic Surgery | 219 N 18th St W, Bradenton, FL 34205-6846 | 2007-01-08 |
| 1457385452 | Robin Rene Hamlin | Plastic Surgery | 5105 Manatee Ave W, Suite 18, Bradenton, FL 34209-3715 | 2006-07-10 |
| 1851955983 | Luminary Dermatology, Pa | Plastic Surgery | 2101 61st St W, Bradenton, FL 34209-5528 | 2019-04-24 |
| 1801148432 | Bradenton Plastic Surgery, P. A. | Plastic Surgery | 1220 59th St W, Bradenton, FL 34209-4154 | 2012-10-05 |
| 1194883702 | Daniel B Westawski | Plastic Surgery | 2020 59th St W, Bradenton, FL 34209 | 2006-12-05 |
| 1841372968 | Michael Martin Vanvliet | Plastic Surgery | 2020 59th St W, Bradenton, FL 34209-4604 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275166720 | Ph1 Miami | Plastic Surgery | 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 | 2020-02-12 |
| 1720619927 | Jhs Surgical Pavillion LLC | Plastic Surgery | 3319 S State Road 7 Ste 107, Wellington, FL 33449-8099 | 2020-01-28 |
| 1861048498 | Alexandra Conde Green Md Pa | Plastic Surgery | 4788 N Citation Dr Apt 105, Delray Beach, FL 33445-6532 | 2019-08-09 |
| 1962062885 | Zunilda Rodriguez Martinez | Plastic Surgery | 7360 Sw 24th St, Miami, FL 33155-1498 | 2019-06-13 |
| 1508335985 | Plastic Surgery Associates of Miami | Plastic Surgery | 6541 Sw 76th Ter, South Miami, FL 33143-4656 | 2018-11-15 |
| 1023592177 | Lake Mary Plastic and Cosmetic Surgery Pa | Plastic Surgery | 934 Williston Park Pt Ste 1028, Lake Mary, FL 32746-2165 | 2018-09-24 |
| 1790271096 | Rsm Plastic Surgery, Pa | Plastic Surgery | 3300 W Lake Mary Blvd Ste 210, Lake Mary, FL 32746-3499 | 2018-07-10 |
| 1609306877 | South Beach Plastic Surgery, P.a. | Plastic Surgery | 1820 James Ave Apt 6d, Miami Beach, FL 33139-7462 | 2017-06-19 |
| 1295278943 | Florida Dermatology Plastic Surgery LLC | Plastic Surgery | 6559 N Wickham Rd, Suite 105, Melbourne, FL 32940-2039 | 2016-11-29 |
| 1861947996 | Harlan Ira Wald | Plastic Surgery | 1501 Se 10th St, Fort Lauderdale, FL 33316-1419 | 2016-08-18 |
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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.