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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HILLSTROM FACIAL PLASTIC SURGERY PA

Active Organization

HILLSTROM FACIAL PLASTIC SURGERY PA is a Plastic Surgery within the Head & Neck organization located in LAKEWOOD RANCH, Florida. NPI 1104051978 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery within the Head & Neck · LAKEWOOD RANCH, FL

Registration Details

NPI Number
1104051978
Provider Type
Organization
NPI Issued
May 22, 2009 (17.246992861564 yrs)
Last Updated
Oct 13, 2025
Licenses
ME54913 (FL)
ME54913 (FL)

Practice Information

Address
6310 HEALTH PARK WAY STE 110
LAKEWOOD RANCH, FL, 342025177
Browse FL providers · Browse ZIP 34202
Phone
9413553223
Fax
9413589749
Primary Specialty
Plastic Surgery within the Head & Neck
2082S0099X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.