Organization
NEA AESTHETICS COMPANY
Active
Organization
NEA AESTHETICS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIA LECUSAY (MANAGER)
(786) 663-1411
Entity
Organization
Contact information
Practice address
14251 SW 42ND ST, MIAMI, FL 33175-6408
(305) 960-7342
(305) 960-7421
Mailing address
14251 SW 42ND ST, MIAMI, FL 33175-6408
(305) 960-7342
(305) 960-7421
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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