Dr. Giancarlo Plastic Surgery, PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

DR. GIANCARLO PLASTIC SURGERY, PLLC

Doing business as

Dr. Giancarlo Plastic Surgery

Practice address

851 Meadows Rd Ste 222
Boca Raton, FL 33486-2348

Phone

(561) 524-9672

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Giancarlo McEvenue, MD

Title

Owner

Phone

(561) 524-9672

Specialties & licenses 1

Addresses

Other names 1

• Dr. Giancarlo Plastic Surgery Doing business as

Locations

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1417600198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MEADOWS RD STE 222",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862348",
            "telephone_number": "561-524-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MEADOWS RD STE 222",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862348",
            "telephone_number": "561-524-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GIANCARLO PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "MCEVENUE",
        "authorized_official_first_name": "GIANCARLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-524-9672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Giancarlo Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Plastic and Reconstructive Surgery Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.