Organization
JAZMIN SURGICAL & SKIN CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIAM LAVIELLE MASSAGE THERAPIST (OWNER)
(305) 642-0005
Entity
Organization
Contact information
Practice address
2140 W FLAGLER ST, SUITE 107, MIAMI, FL 33135-5600
(305) 642-0005
(305) 642-8380
Mailing address
2140 W FLAGLER ST, SUITE 107, MIAMI, FL 33135-5600
(305) 642-0005
(305) 642-8380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC6015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6015
AHCA CERTIFICATE
FL
Enumeration date
01/17/2007
Last updated
08/22/2020
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