# BODY RX ANTIAGING LLC

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

## Provider details

- **NPI number:** 1407280613
- **Authorized official:** STEVEN SEVILLA (OWNER)
- **Authorized official phone:** (786) 899-4514

## Contact information

- **Practice address:** 10261 SW 72ND ST, SUITE C105, MIAMI, FL 33173-3023
- **Practice address phone:** (786) 899-4514
- **Practice address fax:** (786) 245-6701
- **Mailing address:** 10261 SW 72ND ST, SUITE C105, MIAMI, FL 33173-3023
- **Mailing address phone:** (786) 899-4514
- **Mailing address fax:** (786) 245-6701

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2013
- **Last updated:** 08/23/2013