Provider Demographics
NPI:1548349434
Name:FLORIDA CENTER FOR PLASTIC & HAND SURGERY
Entity type:Organization
Organization Name:FLORIDA CENTER FOR PLASTIC & HAND SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BHUPINDER
Authorized Official - Middle Name:RAI
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-321-7111
Mailing Address - Street 1:3300 W LAKE MARY BLVD
Mailing Address - Street 2:#220
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746
Mailing Address - Country:US
Mailing Address - Phone:407-321-7111
Mailing Address - Fax:407-321-7446
Practice Address - Street 1:3300 W LAKE MARY BLVD
Practice Address - Street 2:#220
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:407-321-7111
Practice Address - Fax:407-321-7446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty