Florida Plastic & Reconstructive Surgery, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

OS11081 Issued in FL

Legal business name

FLORIDA PLASTIC & RECONSTRUCTIVE SURGERY, LLC

Practice address

7855 38TH Ave N
St Petersburg, FL 33710-1152

Phone

(727) 897-5444

Fax

(800) 971-3437

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Newman, D.O.

Title

Owner

Phone

(727) 897-5444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1598071730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16357 REDINGTON DR",
            "city": "REDINGTON BEACH",
            "state": "FL",
            "postal_code": "337081547",
            "telephone_number": "727-897-5444",
            "fax_number": "800-971-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101152",
            "telephone_number": "727-897-5444",
            "fax_number": "800-971-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PLASTIC & RECONSTRUCTIVE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-897-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "OS11081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002903300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida No Fault Injury Centers, Inc.
• Florida Oral Surgery Associates
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• Florida Pediatric Associates LLC
• Florida Physical Medicine, LLC
• Florida Specialty Surgery Center LLC
• Florida United Radiology, LC
• Florida United Radiology, LC
• Florida United Radiology, LC
• Florida United Radiology, LC

• Medical Specialty Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.