Organization
MARQUESA AESTHETICS LLC (CRANIAL PROSTHESIS)
Active
Other names
Marquesa Cranial Prosthesis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO LORENZO MBA (MANAGING MEMBER)
(305) 444-4444
Entity
Organization
Contact information
Practice address
2590 S DIXIE HWY, MIAMI, FL 33133-3137
(305) 444-4444
Mailing address
2590 S DIXIE HWY, MIAMI, FL 33133-3137
(305) 444-4444
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/05/2021
Last updated
06/15/2021
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