Organization
DERMA BEAUTY SPA MEDICAL CLINIC
Active
Other names
Derma Beauty spa Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIE MEDINA (OWNER)
(786) 454-6630
Entity
Organization
Contact information
Practice address
1470 NW 107TH AVE STE M, SWEETWATER, FL 33172-2735
(305) 594-5999
Mailing address
1470 NW 107TH AVE STE M, SWEETWATER, FL 33172-2735
(305) 594-5999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
09/10/2020
Last updated
10/16/2020
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