Lake Mary Plastic and Cosmetic Surgery PA

NPI #1023592177 in Lake Mary, Florida

Provider Information

NPI Number
1023592177
Entity Type
Organization
Organization Name
Lake Mary Plastic and Cosmetic Surgery PA
Primary Specialty
Plastic Surgery
Enumeration Date
Sep 24, 2018
Last Updated
Sep 24, 2018

Practice Location

Address
934 WILLISTON PARK PT STE 1028
State
Florida
ZIP Code
32746-2165
Phone
(407) 333-2518

Authorized Official

Name
DR. JAMES THOMAS SHOUKAS, MD
Title
PRESIDENT
Phone
(904) 553-0737

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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