Organization
JMC AESTHETICS, LLC
Active
Other names
jmc restorative medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL CHILDRESS M.D. (OWNER)
(305) 456-7206
Entity
Organization
Contact information
Practice address
2001 BISCAYNE BLVD STE 115, MIAMI, FL 33137-5056
(305) 456-7206
(305) 456-7688
Mailing address
2001 BISCAYNE BLVD STE 115, MIAMI, FL 33137-5056
(305) 456-7206
(305) 456-7688
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME95727
FL
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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