# EOS REGENERATIVE AESTHETIC MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tres Beaux Apothecary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861382376
- **Authorized official:** STACY RIBEIRO (PARTNER)
- **Authorized official phone:** (813) 510-0096

## Contact information

- **Practice address:** 2059 CENTRAL AVE, SAINT PETERSBURG, FL 33713-8814
- **Practice address phone:** (813) 789-3464
- **Mailing address:** 2059 CENTRAL AVE, SAINT PETERSBURG, FL 33713-8814
- **Mailing address phone:** (813) 789-3464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 07/07/2025