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Organization
HARBOUR MEDICAL AND AESTHETICS CENTER LLC
Active
Organization
HARBOUR MEDICAL AND AESTHETICS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETEL TRULLENQUE DO (AUTHORIZED OFFICIAL)
(305) 504-6136
Entity
Organization
Contact information
Practice address
1021 IVES DAIRY RD STE 214, MIAMI, FL 33179-2537
(305) 504-6136
Mailing address
1021 IVES DAIRY RD STE 214, MIAMI, FL 33179-2537
(305) 504-6136
(786) 671-0187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
06/09/2022
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