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Organization
PLASTIC SURGERY BOUTIQUE LLC
Active
Organization
PLASTIC SURGERY BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE-SOPHIE LESSARD MD (MEDICAL DOCTOR)
(305) 733-5560
Entity
Organization
Contact information
Practice address
2601 SW 37TH AVE STE 803, MIAMI, FL 33133-2751
(305) 562-5859
Mailing address
9008 SW 215TH ST, CUTLER BAY, FL 33189-3786
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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