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Southeastern Plastic Surgery, P.A.

Southeastern Plastic Surgery, P.A. is a healthcare organization registered as Plastic and Reconstructive Surgery Physician in Tallahassee, FL, holding Type 2 (organization) NPI 1801989884 since 2006. The authorized official on file is Ben Kirbo, Surgeon/Owner.

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NPI 1801989884
Entity type Organization (Type 2)
Legal business name Southeastern Plastic Surgery, P.A.
Other name <Unavail>
Practice address 2030 FLEISCHMANN RD, Tallahassee, FL, 32308
Phone 8502192000
Fax 8508772138
Enumeration date 2006-10-02
Last updated in NPPES 2016-11-10

Authorized official

Name Ben Kirbo
Title Surgeon/Owner
Phone 8502192000

Taxonomy & classification

Taxonomy code Specialty Primary License State
2086S0122X Plastic and Reconstructive Surgery Physician Primary
Copy-ready billing details
Provider: Southeastern Plastic Surgery, P.A.
NPI: 1801989884
Taxonomy: 2086S0122X (Plastic and Reconstructive Surgery Physician)
Address: 2030 FLEISCHMANN RD, Tallahassee, FL, 32308

Providers at this address

NPI Name Type Specialty Location
1467494526 Laurence Rosenberg Individual Plastic Surgery Physician Tallahassee, FL
1598700197 Patti Pijut Individual Certified Registered Nurse Anesthetist Tallahassee, FL
1184650483 Lisa Umana Individual Certified Registered Nurse Anesthetist Tallahassee, FL
1720096761 Ben Kirbo Individual Plastic Surgery Physician Tallahassee, FL
1033223367 Southeastern Outpatient Surgery Center LLC Organization Ambulatory Surgical Clinic/Center Tallahassee, FL
1043425309 Leo Derosier Individual Surgery Physician Tallahassee, FL
1811102494 Kristen Costa Individual Physician Assistant Tallahassee, FL
1043579949 Nimble Anesthesia, LLC Organization Certified Registered Nurse Anesthetist Tallahassee, FL

Verify this record

Cross-check NPI 1801989884 against the authoritative CMS record: view Southeastern Plastic Surgery, P.A. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Southeastern Plastic Surgery, P.A. located?
The practice location on file with NPPES is in Tallahassee, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-11-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-10.