institution
Lavernia Medi-spa, Inc.
Clinic/Center in Miami, Florida
NPI 1689753030

Lavernia Medi-spa, Inc. is a Clinic/Center based in Doral, FL. Lavernia Medi-spa, Inc. practices in Miami, FL. The NPI Number for Lavernia Medi-spa, Inc. is 1689753030 and holds a License No. HCC5400 (Florida).

The current practice location address for Lavernia Medi-spa, Inc. is 7902 N.w. 36 Street, Miami, FL and can be reached out via phone at 305-629-9662 and via fax at 305-629-9663.

Location: 7902 N.w. 36 Street, Miami, FL, 33166
institution
Provider Profile Details
NPI Number
1689753030
Provider Name
Lavernia Medi-spa, Inc.
Credential
Provider Entity Type
Organization
Address
7902 N.w. 36 Street, Miami, FL, 33166
Phone Number
305-629-9662
Fax Number
305-629-9663
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HCC5400 01 FL AHCA LICENSE
institution
Provider Business Practice Location Address Details
Address
7902 N.w. 36 Street
City
State
Zip
33166
Phone Number
305-629-9662
Fax Number
305-629-9663
person
Provider Business Mailing Address Details
Address
7902 N.w. 36 Street
City
State
Zip
33166
Phone Number
305-629-9662
Fax Number
305-629-9663
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
HCC5400 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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