# AGELESS BODY BY NEW SCIENCE LLC

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

## Provider details

- **NPI number:** 1760841472
- **Authorized official:** RICARDO PRESAS MEDICAL DOCTOR (DIRECTOR)
- **Authorized official phone:** (954) 990-0302

## Contact information

- **Practice address:** 2500 E HALLANDALE BEACH BLVD STE 406, HALLANDALE BEACH, FL 33009-4837
- **Practice address phone:** (954) 990-0302
- **Practice address fax:** (954) 908-7101
- **Mailing address:** 2500 E HALLANDALE BEACH BLVD STE 406, HALLANDALE BEACH, FL 33009-4837
- **Mailing address phone:** (954) 990-0302
- **Mailing address fax:** (954) 755-9347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | CH 11660 | FL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/23/2016
- **Last updated:** 03/27/2019