LAKE MARY PLASTIC AND COSMETIC SURGERY PA – Plastic Surgery Physician, NPI 1023592177

LAKE MARY PLASTIC AND COSMETIC SURGERY PA is a healthcare provider. based in Lake mary, Florida. specializing in Plastic Surgery Physician. The NPI Number for LAKE MARY PLASTIC AND COSMETIC SURGERY PA is 1023592177

Main info

Organization
Name
LAKE MARY PLASTIC AND COSMETIC SURGERY PA
NPI
1023592177
Phone
(407) 333-2518
Address
934 WILLISTON PARK PT STE 1028
Authorized Official
DR. JAMES THOMAS SHOUKAS PRESIDENT MD
Enumeration Date
24 September 2018
Last Update Date
24 September 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

Provider Addresses for LAKE MARY PLASTIC AND COSMETIC SURGERY PA

  • 934 WILLISTON PARK PT STE 1028

    LAKE MARY, FL 327462165

    Phone: (407) 333-2518

    Fax: (407) 333-2521

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32746)

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Frequently asked questions

What is the 10-digit NPI for LAKE MARY PLASTIC AND COSMETIC SURGERY PA?
LAKE MARY PLASTIC AND COSMETIC SURGERY PA — NPI 1023592177 — is the standard way to identify this listing.
Does the file indicate LAKE MARY PLASTIC AND COSMETIC SURGERY PA is practicing under active NPI?
Directory data currently reports LAKE MARY PLASTIC AND COSMETIC SURGERY PA as active.
What is LAKE MARY PLASTIC AND COSMETIC SURGERY PA's specialty?
The listing groups LAKE MARY PLASTIC AND COSMETIC SURGERY PA with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect LAKE MARY PLASTIC AND COSMETIC SURGERY PA on a map?
Expect Lake Mary, Florida as a primary anchor for LAKE MARY PLASTIC AND COSMETIC SURGERY PA unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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