AESTHETIC SURGERY CENTER OF WINTER PARK, LLC
Ambulatory Health at Bear Gully Rd, Winter Park, FL

License number
Florida 1199
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. JEFFREY M. HARTOG D.M.D., M.D.
Title: MEDICAL DIRECTOR
Phone: (321) 282-0561
Address
Address
4355 Bear Gully Rd, Winter Park, FL 32792
National Provider ID: 1861653685
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Aesthetic Surgery Center of Winter Park, LLC

4355 Bear Gully Rd, Winter Park, FL 32792

Registration:
Aug 6, 2003
State ID:
L03000029070
Business type:
Florida Limited Liability
Managers:
Jeffrey M. Hartog (Manager),Michelle Hartog (Manager)

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