Organization
ETERNAL BEAUTY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYLIN DULZAIDES (PRESIDENT)
(786) 266-8744
Entity
Organization
Contact information
Practice address
2794 W 68TH ST, SUITE 103, HIALEAH, FL 33016-5407
(305) 827-5148
(305) 827-5418
Mailing address
2794 W 68TH ST, SUITE 103, HIALEAH, FL 33016-5407
(305) 827-5148
(305) 827-5418
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
HCC9185
FL
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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