OrganizationActive
The Center for Facial Restoration, Incorporated
NPI 1861877979 · Otolaryngology/Facial Plastic Surgery Physician · Miramar, FL
Provider details
- NPI number
- 1861877979
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Davis, President(954) 442-5191
- License
- ME64358 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1951 Sw 172nd Avenue
Suite 205
Miramar, FL 33029-5613
Phone: (954) 442-5191
Fax: (786) 228-2853
Approximate (ZIP-level) locationGet directions
Mailing address
1951 Sw 172nd Avenue
Miramar, FL 33029-5613
Registry dates
- Enumerated
- 2015-07-30
- Last updated
- 2015-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.