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Organization
BRAIN, BEAUTY, BOTOX
Active
Organization
BRAIN, BEAUTY, BOTOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAHIANA RAFAILOVITC PMHNP (OWNER)
(561) 800-8405
Entity
Organization
Contact information
Practice address
840 US 1 STE 340, NORTH PALM BEACH, FL 33408-3834
(561) 800-8405
Mailing address
290 N OLIVE AVE APT 627, WEST PALM BEACH, FL 33401-5574
(561) 800-8405
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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