ORLANDO CENTER FOR ADVANCED PLASTIC SURGERY, LLC
NPI 1255856589
Plastic Surgery in Lake Mary, FL

Active since August 08, 2017
4106 W LAKE MARY BLVD STE 212, LAKE MARY, FL 32746(407) 333-2525(407) 333-9583 Get Directions Write a Review

NPPES record last updated: April 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2021, May 14, 2020, Sep 12, 2018 and 1 more (4 updates tracked since 2017).

About Orlando Center For Advanced Plastic Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORLANDO CENTER FOR ADVANCED PLASTIC SURGERY, LLC (NPI 1255856589) is a healthcare organization registered as a plastic surgery in Lake Mary, Florida and active in the NPI registry since August 2017. The organization lists Edgar Sosa, Director, as its authorized official.

NPPES Registry Identity

NPI1255856589
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameORLANDO CENTER FOR ADVANCED PLASTIC SURGERY, LLC
Location Address4106 W LAKE MARY BLVD STE 212Lake Mary, FL 32746-3344
Mailing Address4106 W Lake Mary Blvd Ste 212Lake Mary, FL 32746-3344 · (407) 333-2525 · Fax (407) 333-9583
Fax(407) 333-9583
Organization SubpartNo
Authorized OfficialEdgar SosaDirector · (407) 333-2525
Enumeration DateAugust 8, 2017
Last NPPES UpdateApril 24, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2021
✔ NPI 1255856589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
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.
4106 W LAKE MARY BLVD STE 212, Lake Mary, FL 32746

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orlando Center For Advanced Plastic Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Orlando Center For Advanced Plastic Surgery, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1699938472
5070 HIGHWAY A1A STE A
Vero Beach, FL 32963
(772) 234-3700
✔ PECOS✔ Accepts Medicare96 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orlando Center For Advanced Plastic Surgery, LLC's NPI number?

The NPI number for Orlando Center For Advanced Plastic Surgery, LLC is 1255856589. It was assigned to this organization in the NPPES registry on August 8, 2017.

Where is Orlando Center For Advanced Plastic Surgery, LLC located?

Orlando Center For Advanced Plastic Surgery, LLC is located at 4106 W Lake Mary Blvd Ste 212, Lake Mary, FL 32746. The listed phone number is (407) 333-2525.

What is Orlando Center For Advanced Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Orlando Center For Advanced Plastic Surgery, LLC enrolled in Medicare?

Yes. Orlando Center For Advanced Plastic Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orlando Center For Advanced Plastic Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Orlando Center For Advanced Plastic Surgery, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Orlando Center For Advanced Plastic Surgery, LLC was last updated on April 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.