Organization Active NPI

Aesthetic Plastic Surgery Institute PA

  • Plastic and Reconstructive Surgery Physician
  • Davie, FL
National Provider Identifier
1427268796
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
OS9076 Issued in FL
Legal business name
AESTHETIC PLASTIC SURGERY INSTITUTE PA
Practice address
4725 SW 148TH Ave Ste 202
Davie, FL 33330-2124
Phone
(954) 752-7842
Fax
(954) 473-2454
NPI assigned
May 23, 2007
Last updated
Oct 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Dr. Charles E Garramone, D.O.NPI 1578540142
Title
Ceo
Phone
(954) 752-7842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X OS9076 FL Primary

Addresses

Primary practice location

4725 SW 148TH Ave Ste 202
Davie, FL 33330-2124

Mailing address

4725 SW 148TH Ave Ste 202
Davie, FL 33330-2124
Phone (954) 752-7842

National Provider Directory

National Provider Directory

Locations

4725 SW 148th Ave
Ste 202
Davie, FL 33330
Phone (954) 752-7842

12651 W Sunrise Blvd
Ste 102
Sunrise, FL 33323
Phone (954) 752-7842

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1427268796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 SW 148TH AVE STE 202",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302124",
            "telephone_number": "954-752-7842",
            "fax_number": "954-473-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 SW 148TH AVE STE 202",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302124",
            "telephone_number": "954-752-7842",
            "fax_number": "954-473-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC PLASTIC SURGERY INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "GARRAMONE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-752-7842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "OS9076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.