# PLASTIC SURGERY BOUTIQUE LLC

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

## Provider details

- **NPI number:** 1528772027
- **Authorized official:** DR. ANNE-SOPHIE LESSARD MD (MEDICAL DOCTOR)
- **Authorized official phone:** (305) 733-5560

## Contact information

- **Practice address:** 2601 SW 37TH AVE STE 803, MIAMI, FL 33133-2751
- **Practice address phone:** (305) 562-5859
- **Mailing address:** 9008 SW 215TH ST, CUTLER BAY, FL 33189-3786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2023
- **Last updated:** 01/09/2023