RSM PLASTIC SURGERY, PA – Plastic Surgery Physician, NPI 1790271096

RSM PLASTIC SURGERY, PA is a healthcare provider. based in Lake mary, Florida. specializing in Plastic Surgery Physician. The organization holds a License No. ME136100 (FL). The NPI Number for RSM PLASTIC SURGERY, PA is 1790271096

Main info

Organization
Name
RSM PLASTIC SURGERY, PA
NPI
1790271096
Phone
(863) 899-9736
Address
3300 W LAKE MARY BLVD STE 210
Authorized Official
KANDICE KING CREDENTIALING SPECIALIST
Enumeration Date
10 July 2018
Last Update Date
21 August 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for RSM PLASTIC SURGERY, PA

  • 210, Lake Mary Boulevard, Lake Mary, Sanford, Seminole County, Florida, 32773, United States

    LAKE MARY, FL 327463499

    Phone: (863) 899-9736

    Type: Location

  • Country Club Road, Lake Mary, Seminole County, Florida, 24773, United States

    SUITE 210

    LAKE MARY, FL 32746

    Phone: (407) 632-1010

    Type: Mailing

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 federal number belongs to RSM PLASTIC SURGERY, PA?
The federal identifier for RSM PLASTIC SURGERY, PA is NPI 1790271096.
Is RSM PLASTIC SURGERY, PA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is RSM PLASTIC SURGERY, PA?
The page reflects Plastic Surgery Physician for RSM PLASTIC SURGERY, PA. Clinical services aligned with this taxonomy classification.
Does RSM PLASTIC SURGERY, PA practice in Florida?
You will see Lake Mary, Florida on file for RSM PLASTIC SURGERY, PA alongside any extra practice locations.
What if Lake Mary, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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