# JMC AESTHETICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** jmc restorative medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275813263
- **Authorized official:** DR. JOHN MICHAEL CHILDRESS M.D. (OWNER)
- **Authorized official phone:** (305) 456-7206

## Contact information

- **Practice address:** 2001 BISCAYNE BLVD STE 115, MIAMI, FL 33137-5056
- **Practice address phone:** (305) 456-7206
- **Practice address fax:** (305) 456-7688
- **Mailing address:** 2001 BISCAYNE BLVD STE 115, MIAMI, FL 33137-5056
- **Mailing address phone:** (305) 456-7206
- **Mailing address fax:** (305) 456-7688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME95727 | FL | Yes |

## Other

- **Enumeration date:** 08/22/2011
- **Last updated:** 08/22/2011