Organization
COSMETIC SURGICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETH MENENDEZ (PRESIDENT)
(305) 297-0623
Entity
Organization
Contact information
Practice address
13055 SW 42ND ST, SUITE # 102, MIAMI, FL 33175-3406
(305) 228-8300
(305) 228-8371
Mailing address
13055 SW 42ND ST, SUITE # 102, MIAMI, FL 33175-3406
(305) 228-8380
(305) 228-8371
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSR541
FL
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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