Deactivated NPI 1235132416 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel L Kapp , MD

Plastic Surgery • West Palm Beach, FL

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Daniel Kapp has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2005

NPI Deactivation Date March 15, 2006

Total Practice Duration ~8 Years of Practice (1998 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Kapp, MD was a registered Plastic Surgery in West Palm Beach, FL. Prior to record deactivation on 2006-03-15, Dr. Kapp completed approximately 8 years of clinical practice following graduation from University Of South Florida College Of Medicine in 1998.

Dr. Kapp accepted Medicare assignment.

Historical Medicare Part B clinical services included cygnus dual, per square centimeter, established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1500 N Dixie Hwy
Ste 304

West Palm Beach, FL 334012717

Telephone 5618334022

Fax 5618334180

Associated Practice Facility / Clinic

🏢 Anesthesia & Pain Medicine Pa Facility NPI 1669438693

Medicare Profile & Education

Medical School

University Of South Florida College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in West Palm Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -7.8 yrs vs City Avg

City Avg: 35.8 Yrs

State Avg: 29.6 Yrs

Regional Practice Density

14 Specialists

Practicing in West Palm Beach, FL (537 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kapp (28 Years) 28 Yrs

West Palm Beach Specialty Average (35.8 Years) 35.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4282 Cygnus dual, per square centimeter	360	12	$1119.13	$877.64
99213 Established patient office or other outpatient visit, typically 15 minutes	261	143	$207.00	$91.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$483.00	$169.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	93	$305.00	$129.14
11042 Removal of skin and tissue, 20.0 sq cm or less	130	51	$506.00	$129.00
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	93	42	$633.00	$236.35
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	73	20	$587.00	$156.18
97597 Removal of tissue from wound, 20.0 sq cm or less	68	41	$115.00	$100.39
0598T Fluorescence wound imaging for bacteria, first anatomic site	43	39	$200.00	$146.34
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	33	29	$3910.00	$1112.49
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	24	22	$1104.00	$351.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$593.00	$223.40
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$1225.00	$753.75
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$2760.00	$388.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4197 Puraply xt, per square centimeter	1,476	19	$357.00	$163.56
Q4217 Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter	483	11	$1451.09	$1165.33
99213 Established patient office or other outpatient visit, typically 15 minutes	343	158	$207.00	$92.07
Q4194 Novachor, per square centimeter	222	19	$1401.94	$1008.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$483.00	$171.04
11042 Removal of skin and tissue, 20.0 sq cm or less	157	74	$506.00	$131.50
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	137	37	$587.00	$159.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	65	$305.00	$130.25
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	66	42	$633.00	$238.62
0598T Fluorescence wound imaging for bacteria, first anatomic site	51	43	$200.00	$148.46
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	42	37	$1104.00	$362.58
97597 Removal of tissue from wound, 20.0 sq cm or less	40	32	$115.00	$101.92
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	31	29	$3910.00	$1135.33
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	30	11	$244.00	$160.41
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	21	13	$920.00	$231.28
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	21	20	$1283.00	$674.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$593.00	$225.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$311.00	$115.71
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	18	18	$1333.00	$410.64
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	14	$1225.00	$767.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$121.00	$57.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4197 Puraply xt, per square centimeter	4,490	39	$357.00	$262.60
99213 Established patient office or other outpatient visit, typically 15 minutes	294	140	$207.00	$94.10
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	193	41	$587.00	$164.62
11042 Removal of skin and tissue, 20.0 sq cm or less	181	68	$506.00	$133.82
Q4194 Novachor, per square centimeter	178	17	$1494.38	$1047.28
97610 Therapy procedure using ultrasound	149	14	$550.00	$462.81
0598T Fluorescence wound imaging for bacteria, first anatomic site	135	65	$200.30	$154.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$483.00	$175.13
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	92	46	$633.00	$248.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	44	$305.00	$132.59
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	42	40	$1104.00	$376.06
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	37	35	$3910.00	$1140.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$311.00	$117.73
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	18	$1225.00	$744.24
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	18	16	$1283.00	$672.46
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	16	16	$1333.00	$423.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4197 Puraply xt, per square centimeter	5,186	58	$357.00	$265.00
Q4159 Affinity, per square centimeter	962	40	$1160.00	$986.22
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	282	64	$587.00	$162.36
99213 Established patient office or other outpatient visit, typically 15 minutes	263	125	$207.00	$95.41
11042 Removal of skin and tissue, 20.0 sq cm or less	231	78	$506.00	$129.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$483.00	$177.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	86	$305.00	$134.18
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	103	11	$920.00	$240.34
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	89	56	$633.00	$253.70
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	84	22	$244.00	$164.87
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	58	51	$1104.00	$384.36
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	31	30	$3910.00	$1169.20
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	25	22	$1283.00	$643.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$311.00	$118.39
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	17	$1225.00	$781.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$121.00	$58.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$414.00	$189.72
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	15	14	$1414.67	$595.80
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	14	13	$3910.00	$840.27
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	14	13	$1333.00	$432.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$593.00	$233.02
11102 Tangential biopsy of single skin lesion	11	11	$155.00	$68.79
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$2760.00	$438.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4197 Puraply xt, per square centimeter	1,904	17	$357.01	$257.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$483.00	$175.54
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	94	11	$920.00	$248.29
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	87	44	$633.00	$171.13
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	62	13	$587.00	$159.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	51	$305.00	$115.08
99213 Established patient office or other outpatient visit, typically 15 minutes	58	42	$207.00	$78.04
11042 Removal of skin and tissue, 20.0 sq cm or less	57	34	$506.00	$65.36
99213 Established patient office or other outpatient visit, typically 15 minutes	53	33	$207.00	$54.95
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	35	22	$633.00	$253.10
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	31	11	$920.00	$246.76
11042 Removal of skin and tissue, 20.0 sq cm or less	28	13	$506.00	$132.33
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	28	25	$3910.00	$1144.38
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	28	13	$587.00	$93.05
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	24	24	$1225.00	$776.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$593.00	$221.92
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	19	17	$1283.00	$739.49
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	19	18	$1104.00	$386.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$483.00	$139.75
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	15	11	$1104.00	$239.84
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	15	13	$3910.00	$659.19
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	14	12	$1333.00	$435.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$305.00	$83.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$587.00	$215.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	229	29	$920.00	$246.34
11042 Removal of skin and tissue, 20.0 sq cm or less	104	55	$506.00	$65.44
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	103	54	$633.00	$168.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$478.89	$172.69
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	57	13	$115.00	$61.84
99213 Established patient office or other outpatient visit, typically 15 minutes	56	40	$207.00	$77.29
99213 Established patient office or other outpatient visit, typically 15 minutes	54	41	$207.00	$53.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	39	$303.26	$113.07
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	32	31	$3910.00	$786.72
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	32	14	$886.25	$246.38
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	32	29	$3878.13	$1121.87
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	26	16	$633.00	$243.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$593.00	$217.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$483.00	$136.76
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	22	20	$1225.00	$758.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$305.00	$82.58
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	18	14	$1283.00	$772.67
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	13	12	$1104.00	$250.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$587.00	$212.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	214	22	$807.48	$243.28
11042 Removal of skin and tissue, 20.0 sq cm or less	211	78	$441.98	$66.61
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	139	22	$57.06	$29.26
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	89	43	$553.09	$168.80
99213 Established patient office or other outpatient visit, typically 15 minutes	73	52	$180.00	$53.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$420.00	$171.93
99213 Established patient office or other outpatient visit, typically 15 minutes	55	38	$180.00	$75.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$421.57	$136.37
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	39	14	$100.00	$62.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	23	$265.00	$111.24
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	27	25	$3400.00	$758.66
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	22	14	$521.59	$90.22
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	18	$1065.00	$765.51
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	20	16	$1115.00	$688.77
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	19	19	$3400.00	$1152.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$515.00	$216.90
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	18	18	$960.00	$250.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$270.00	$113.17
99183 Management and supervision of oxygen chamber therapy per session	15	11	$250.00	$118.82
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	12	12	$1367.00	$783.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	117	61	$550.00	$161.12
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	109	16	$800.00	$236.40
11042 Removal of skin and tissue, 20.0 sq cm or less	103	56	$440.00	$60.89
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	95	13	$100.00	$60.09
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	78	30	$510.00	$83.89
99213 Established patient office or other outpatient visit, typically 15 minutes	64	46	$180.00	$72.95
99213 Established patient office or other outpatient visit, typically 15 minutes	61	47	$180.00	$48.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$420.00	$164.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$265.00	$107.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$420.00	$126.49
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	22	21	$1115.00	$620.99
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	21	19	$3400.00	$671.67
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	18	18	$960.00	$241.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$515.00	$208.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$510.00	$204.10
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	15	14	$3400.00	$1074.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$270.00	$104.37
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	13	13	$1367.00	$698.14
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1065.00	$655.31

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License FL ME90122

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

273393500 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Richard Schwartz , MD

Plastic Surgery

NPI 1326041476

Doctor of Medicine (M.D.)

Dr. Jeffrey Stein , MD

Plastic Surgery

NPI 1396889986

Doctor of Medicine (M.D.)

Dr. Amy Collins-Brenner , MD

Surgery

NPI 1992904858

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location July 06, 2010

Registered at 1500 N DIXIE HWY, STE 304, WEST PALM BEACH, FL 334012717 (Tel: 5618334022)

📍

Updated Business Mailing Address July 06, 2010

Registered at 1500 N DIXIE HWY, STE 304, WEST PALM BEACH, FL 334012717 (Tel: 5618334022)

👤

Provider Name / Credentials Updated July 06, 2010

Recorded as DANIEL KAPP, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2010

Plastic Surgery (License #ME90122 in FL)

🔄

NPI Profile Reactivated March 20, 2006

Record officially reactivated for active practice on March 20, 2006

⚠️

NPI Profile Deactivated March 15, 2006

Record deactivated on March 15, 2006

🟢

Initial NPI Registration & Enumeration May 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235132416

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 23, 2005

Last Update: July 06, 2010

Deactivation Date: March 15, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1500 N Dixie Hwy, Ste 304

West Palm Beach, FL 334012717

Phone: 5618334022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.