# LICE CLINICS OF AMERICA DADE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144883026
- **Authorized official:** MRS. EDITH IBANEZ (OWNER)
- **Authorized official phone:** (786) 239-6645

## Contact information

- **Practice address:** 175 FONTAINEBLEAU BLVD STE 1H, MIAMI, FL 33172-7012
- **Practice address phone:** (786) 239-6645
- **Mailing address:** 175 FONTAINEBLEAU BLVD STE 1H, MIAMI, FL 33172-7012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 242T00000X | Perfusionist | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2019
- **Last updated:** 04/17/2019