Craniofacial, Reconstructive And Cosmetic Surgery Associates, Llc

LBN: Craniofacial, Reconstructive And Cosmetic Surgery Associates, Llc
Craniofacial, Reconstructive And Cosmetic Surgery Associates, Llc is an health care organization with primary practice located at 6705 Sw 57Th Ave Ste 510 , South Miami FL 33143-3644. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is the primary health care specialty. Craniofacial, Reconstructive And Cosmetic Surgery Associates, Llc can be contacted via phone (786) 471-4299, or through Thayer, Stone R via phone (786) 471-4299.

Contact Information

Primary practice address
6705 Sw 57Th Ave Ste 510 South Miami FL 33143-3644
Phone: (786) 471-4299
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thayer, Stone R DMD, MD
Phone: (786) 471-4299

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X ME114524 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME114524 Florida

Profile Details

NPI number 1447673173
LBN Legal business name Craniofacial, Reconstructive And Cosmetic Surgery Associates, Llc
DBA Doing business as
Authorized official Thayer, Stone R DMD, MD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2014
Last updated Jan 24th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447673173 NPPES
Florida MEDICAID PENDING

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