Florida Institute of Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

FLORIDA INSTITUTE OF PLASTIC SURGERY

Practice address

8550 NE 138TH LN Ste 102
Lady Lake, FL 32159-6816

Phone

(352) 325-5555

Fax

(346) 202-0106

NPI assigned

Sep 12, 2023

Last updated

Apr 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris Caudill

Title

Office Manager

Phone

(352) 325-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Amy M Goetz, PA-C

  • Surgical Physician Assistant
  • The Villages, FL
  • NPI 1962598367
  NPD
• Franziska Huettner, MD PHD

  • Plastic and Reconstructive Surgery Physician
  • Bronx, NY
  • NPI 1811194467

  Plastic Surgery

  NPD

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1609653708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 NE 138TH LN STE 102",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596816",
            "telephone_number": "352-325-5555",
            "fax_number": "346-202-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 NE 138TH LN STE 102",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596816",
            "telephone_number": "352-325-5555",
            "fax_number": "346-202-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE OF PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-325-5555"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Heart & Vascular Group, PA (Leesburg Family Medicine)
• Florida Heart & Vascular Multi Specialty Group, PA (Florida Heart & Vascular Center)
• Florida Home Medical Supply Inc (Colonial Medical Supplies)
• Florida Homecare Specialists Incorporated
• Florida Hospital Ocala Inc (Adventhealth Ocala)
• Florida Medical Associates LLC (VIPcare)
• Florida Pain & Rehabilitation Institute Inc (Florida Pain and Rehabilitation Center)
• Florida Pain & Rehabilitation Institute Inc (Central Florida Pain Management)
• Florida Pain & Rehabilitation Institute Inc (National Pain Institute)
• Florida Rehabilitation Specialist, LLC

• Plastic Surgery Physician in Lady Lake, FL
• Providers in Lady Lake, 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 Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.