Organization
SHINO BAY COSMETIC DERMATOLOGY & LASER INSTITUTE LLC
Active
Organization
SHINO BAY COSMETIC DERMATOLOGY & LASER INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHINO B AGUILERA DO (OWNER)
(954) 765-3005
Entity
Organization
Contact information
Practice address
350 E LAS OLAS BLVD, SUITE 110, FT LAUDERDALE, FL 33301-4211
(954) 765-3005
Mailing address
350 E LAS OLAS BLVD, SUITE 110, FT LAUDERDALE, FL 33301-4211
(954) 765-3005
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
09/08/2008
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