PALM BEACH FACIAL PLASTIC SURGERY LLC NPI 1720484686

NPI Information

  • NPI: 1720484686
  • Provider Name: PALM BEACH FACIAL PLASTIC SURGERY LLC
  • Classification: Plastic Surgery - 2082S0099X
  • Specialization: Plastic Surgery Within the Head and Neck
  • Entity Type: Organization
  • CLIA Number: 10D1094869
  • Address: 4280 PROFESSIONAL CENTER DR
    STE 310
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Phone: (561) 659-9766

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NPI Details

PALM BEACH FACIAL PLASTIC SURGERY LLC is a plastic surgery within the head and neck plastic surgery in Palm Beach Gardens, FL. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. PALM BEACH FACIAL PLASTIC SURGERY LLC NPI is 1720484686. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4280 PROFESSIONAL CENTER DR
STE 310
PALM BEACH GARDENS, FL
ZIP 33410-280
Phone: (561) 659-9766

The provider's authorized official is Mark R Murphy .
The authorized official title is Owner and has the following contact phone number (561) 659-9766.

The CLIA number assigned to this NPI record is 10D1094869 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2014 and was last updated on 11/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryME91139FLORIDANo
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckME91139FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1121307MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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