Organization Active NPI

Restoration Center for Plastic Sugery, LLC.

  • Specialist
  • Palm Beach Gardens, FL
National Provider Identifier
1568760080
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 72823 Issued in FL
Legal business name
RESTORATION CENTER FOR PLASTIC SUGERY, LLC.
Practice address
2865 Pga Blvd
Palm Beach Gardens, FL 33410-2910
Phone
(561) 776-9555
Fax
(561) 776-8495
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Denise Williams
Title
Assistant
Phone
(561) 776-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 72823 FL Primary

Addresses

Primary practice location

2865 Pga Blvd
Palm Beach Gardens, FL 33410-2910

Mailing address

2865 Pga Blvd
Palm Beach Gardens, FL 33410-2910
Phone (561) 776-9555

National Provider Directory

National Provider Directory

Locations

2865 Pga Blvd
#100
Palm Beach Gardens, FL 33410
Phone (561) 776-9555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1568760080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 PGA BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102910",
            "telephone_number": "561-776-9555",
            "fax_number": "561-776-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 PGA BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102910",
            "telephone_number": "561-776-9555",
            "fax_number": "561-776-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION CENTER FOR PLASTIC SUGERY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "561-776-9555"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 72823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.