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Organization

REVAMP HEALTH AGENCY LLC

Active
Other names
Revamp Health Medspa
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEANNETTE PENA RN (OWNER)
(786) 501-0206
Entity
Organization

Contact information

Practice address
5781 SW 137TH AVE, MIAMI, FL 33183-1103
(305) 603-9196
Mailing address
10144 SW 141ST CT, MIAMI, FL 33186-6807

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary

Other

Enumeration date
05/23/2022
Last updated
05/23/2022
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