CRANIOFACIAL, RECONSTRUCTIVE AND COSMETIC SURGERY ASSOCIATES, LLC
Osteopathic Medicine at 57 Ave, Miami, FL

License number
Florida ME114524
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
License number
Florida ME114524
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. STONE R THAYER DMD, MD
Title: PRESIDENT
Phone: (786) 471-4299
Address
Address 2
6705 SW 57Th Ave STE 510, Miami, FL 33143
1949 Isla De Palma Cir, Naples, FL 34119
National Provider ID: 1447673173
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Craniofacial, Reconstructive and Cosmetic Surgery Associates LLC

Miami, FL  -  Naples, FL

Registration:
Aug 1, 2013
Addresses:
6705 SW 57 Ave, Miami, FL 33143
1949 Isla De Palma Cir, Naples, FL 34119
State ID:
L13000109270
Business type:
Florida Limited Liability
Managing Members:
Chitra Rangarajan (Managing Member),Stone Thayer (Managing Member)

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