Organization
NEW MOON MASSAGE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN C CORREA VILA (PRESIDENT)
(305) 888-2002
Entity
Organization
Contact information
Practice address
1140 W 50TH ST, SUITE 402, HIALEAH, FL 33012-3440
(305) 888-2002
(305) 888-2003
Mailing address
1140 W 50TH ST, SUITE 402, HIALEAH, FL 33012-3440
(305) 888-2002
(305) 888-2003
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC8563
FL
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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