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Organization
JMC AESTHETICS, LLC
Active
Organization
JMC AESTHETICS, LLC
Active
Other names
jmc restorative medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL CHILDRESS M.D. (OWNER)
(305) 456-7206
Entity
Organization
Contact information
Practice address
2001 BISCAYNE BLVD STE 115, MIAMI, FL 33137-5056
(305) 456-7206
(305) 456-7688
Mailing address
2001 BISCAYNE BLVD STE 115, MIAMI, FL 33137-5056
(305) 456-7206
(305) 456-7688
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME95727
FL
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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