Organization
EZENTIAL REJUVINATION AND WELLNESS CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODALYS RODMAN (ADMINISTRATOR)
(305) 575-1776
Entity
Organization
Contact information
Practice address
145 E 49TH ST, HIALEAH, FL 33013-1846
(305) 575-1776
(305) 575-1780
Mailing address
145 E 49TH ST, HIALEAH, FL 33013-1846
(305) 575-1776
(305) 575-1780
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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