Active NPI
Palm Beach Institute of Plastic and Reconstructive Surgery
- Plastic Surgery Physician
- Jupiter, FL
National Provider Identifier
1821237322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME102255
- Legal business name
- PALM BEACH INSTITUTE OF PLASTIC AND RECONSTRUCTIVE SURGERY
- Practice address
- 600 Heritage Dr
Ste 220
Jupiter, FL 33458-3000 - Phone
- (561) 624-0090
- Fax
- (561) 627-3006
- NPI assigned
- Feb 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey R Lagrasso, MD
- Title
- Owner
- Phone
- (561) 624-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME102255 | FL | Primary |
Addresses
Primary practice location
600 Heritage Dr
Ste 220
Jupiter, FL 33458-3000
Mailing address
600 Heritage Dr
Ste 220
Jupiter, FL 33458-3000
Phone (561) 624-0090
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233964800000",
"number": "1821237322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HERITAGE DR",
"address_2": "STE 220",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583000",
"telephone_number": "561-624-0090",
"fax_number": "561-627-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HERITAGE DR",
"address_2": "STE 220",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583000",
"telephone_number": "561-624-0090",
"fax_number": "561-627-3006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM BEACH INSTITUTE OF PLASTIC AND RECONSTRUCTIVE SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-07",
"last_updated": "2009-02-07",
"status": "A",
"authorized_official_last_name": "LAGRASSO",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-624-0900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME102255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- Palm Beach Concierge PT, LLC
- Palm Beach Fluoroscopy Services LLC
- Palm Beach Heart Clinic PA
- Palm Beach Home Therapy, Inc.
- Palm Beach Infectious Disease Institute
- Palm Beach Integrative Rheumatology Inc
- Palm Beach Joint Replacement PLLC
- Palm Beach Nephrology Care PLLC
- Palm Beach Orthopaedic Institute PA
- Palm Beach Pathology, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.