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Organization
MBOD LLC
Active
Organization
MBOD LLC
Active
Other names
MboD Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
GHASSAN EDWARD FAHEL D.O. (MEDICAL DIRECTOR)
(305) 374-7011
Entity
Organization
Contact information
Practice address
1717 N BAYSHORE DR, 230, MIAMI, FL 33132-1180
(305) 374-7011
(305) 675-2630
Mailing address
1717 N BAYSHORE DR, 230, MIAMI, FL 33132-1180
(305) 374-7011
(305) 675-2630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7046
FL
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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