LA PLASTIC SURGERY, INC.
Medical Practice at Palm Ave, Sarasota, FL

License number
Florida ME109505
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: MELINDA LACERNA-KIMBRELL MD
Title: PRESIDENT
Phone: (941) 954-4500
Address
Address
1274 N Palm Ave, Sarasota, FL 34236
National Provider ID: 1336577980
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LA PLASTIC SURGERY, INC

1274 N Palm Ave, Sarasota, FL 34236

Registration:
Jun 18, 2013
State ID:
P13000052744
Business type:
Florida Profit Corporation
Medical Doctor, President, Director, Secretary, Treasurers:
Dr Lacerna, 1274 N Palm Ave, Sarasota, FL 34236 (Physical),Melinda L. Lacerna (Medical Doctor, President, Director, Secretary, Treasurer)
Agent:
Blalock Walters, Pa,802 11 St W, Bradenton, FL 34205 (Physical)
EIN:
46-3013156

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