Organization
THE 5 ELEMENTS SPA & LONGEVITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATALINA RESTREPO (OWNER)
(305) 607-2335
Entity
Organization
Contact information
Practice address
2288 WILTON DRIVE, WILTON MANORS, FL 33305
(954) 533-2604
Mailing address
2288 WILTON DRIVE, WILTON MANORS, FL 33305
(954) 533-2604
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MM35287
FL
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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