Jeffrey L Wisnicki
Plastic and Reconstructive Surgery
13005 Southern Blvd Suite 133 Palms West Medical Mall One
Loxahatchee
, Florida 33470
Jeffrey L Wisnicki
Plastic and Reconstructive Surgery
13005 Southern Blvd Suite 133 Palms West Medical Mall One
Loxahatchee
, Florida 33470
(561) 798-0255
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Jeffrey L Wisnicki
- 13005 Southern Blvd Ste 133 Palms West Medical Mall One
- Loxahatchee, FL
- Zip : 33470-9231
- Fax : (561) 798-0255
- Phone : (561) 798-1400
Second Address
- Jeffrey L Wisnicki
- 13005 Southern Blvd Suite 133 Palms West Medical Mall One
- Loxahatchee, FL
- Zip : 33470
- Fax : (561) 798-0255
- Phone : (561) 798-1400
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | ME48094 | FL |
National Provider Identifier
| NPI | 1154406080 |
|---|---|
| Provider Name | Jeffrey L Wisnicki |
| First Address | Loxahatchee, FL 33470-9231 |
| Second Address | Loxahatchee, FL 33470 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 20/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A50224 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.