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Organization
METAMORPHOSIS MEDISPA & WELLNESS CENTER
Active
Organization
METAMORPHOSIS MEDISPA & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE VAN - HORNE MD (CEO)
(315) 775-6018
Entity
Organization
Contact information
Practice address
2104 TYLER ST, HOLLYWOOD, FL 33020-6717
(561) 275-9522
(561) 228-0773
Mailing address
2104 TYLER ST, HOLLYWOOD, FL 33020-6717
(561) 275-9522
(561) 228-0773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
02/27/2015
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