Vitruvian Surgical Institute, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

VITRUVIAN SURGICAL INSTITUTE, LLC

Practice address

2855 N University Dr Ste 400
Coral Springs, FL 33065-1408

Phone

(954) 344-4344

NPI assigned

Apr 24, 2024

Last updated

Sep 17, 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

Dr. Haley Carpenter, MD, PHDNPI 1740766641

Title

Owner

Phone

(904) 861-4153

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Haley Elizabeth Marie Carpenter, MD, PHD

  • Plastic and Reconstructive Surgery Physician
  • Coral Springs, FL
  • NPI 1740766641
  Medicare reassignment NPD Authorized official
• Floyd Leigh Phillips III, M.D.

  • Plastic Surgery Physician
  • Coral Springs, FL
  • NPI 1700990512
  NPD

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1871349647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR STE 400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651408",
            "telephone_number": "954-344-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR STE 400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651408",
            "telephone_number": "954-344-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITRUVIAN SURGICAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-09-17",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-861-4153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Coral Springs, FL
• Providers in Coral Springs, 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 Sep 17, 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.