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Organization
AGELESS BODY BY NEW SCIENCE LLC
Active
Organization
AGELESS BODY BY NEW SCIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO PRESAS MEDICAL DOCTOR (DIRECTOR)
(954) 990-0302
Entity
Organization
Contact information
Practice address
2500 E HALLANDALE BEACH BLVD STE 406, HALLANDALE BEACH, FL 33009-4837
(954) 990-0302
(954) 908-7101
Mailing address
2500 E HALLANDALE BEACH BLVD STE 406, HALLANDALE BEACH, FL 33009-4837
(954) 990-0302
(954) 755-9347
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH 11660
FL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760841472
MEDICAL OFFICE
FL
05
—
1760841472
—
FL
Enumeration date
02/23/2016
Last updated
03/27/2019
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