# SOLUNA AESTHETIC CENTER, PLLC

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

## Provider details

- **NPI number:** 1952639254
- **Authorized official:** MR. ALAN KHORIATY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (305) 446-0440

## Contact information

- **Practice address:** 4251 SALZEDO ST, SUITE 1330, CORAL GABLES, FL 33146-1453
- **Practice address phone:** (305) 446-0440
- **Practice address fax:** (305) 446-0431
- **Mailing address:** 10185 COLLINS AVE, SUITE 1208, BAL HARBOUR, FL 33154-1600
- **Mailing address phone:** (305) 446-0440
- **Mailing address fax:** (305) 446-0431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | Yes |
| 2086S0102X | Surgical Critical Care Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2009
- **Last updated:** 12/20/2010
