Sculpsit Plastic Surgery PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME102994 Issued in FL

Legal business name

SCULPSIT PLASTIC SURGERY PA

Practice address

1118 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7800

Phone

(800) 477-7458

Fax

(850) 435-8352

NPI assigned

Oct 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sean Wolfort, MD

Title

Physician/Owner

Phone

(800) 477-7458

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1154573384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 GULF BREEZE PKWY",
            "address_2": "SUITE 200",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 GULF BREEZE PKWY",
            "address_2": "SUITE 200",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617800",
            "telephone_number": "800-477-7458",
            "fax_number": "850-435-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPSIT PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "WOLFORT",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "800-477-7458",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME102994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Perry Schmidt, MS, LAT, ATC
• Kyle J. Schnackenberg, DMD
• Margaret Vesta Schorghofer
• Amy Nicole Schram, NP-C
• Shanna Schwarz, LPC
• Sea Level Labs LLC
• Seavey Counseling
• Donna Seavey, LCSW
• Travis Seich
• Selah-Gulf Breeze Courtyard, LLC

• Plastic Surgery Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.