Organization
LEAF IT UP MEDSPA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVEL CRISTINA DE FREITAS MD (MEDICAL DIRECTOR)
(954) 391-9869
Entity
Organization
Contact information
Practice address
1000 N BROADWALK STE 1, HOLLYWOOD, FL 33019-1221
(954) 391-9869
(954) 573-6505
Mailing address
1000 N BROADWALK STE 1, HOLLYWOOD, FL 33019-1221
(954) 391-9869
(954) 573-6505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME107216
FL
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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