Organization
SUNNY ISLAND COSMETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISA G ETCHEVERRY (PERSONAL ASSISTANT)
(305) 932-9877
Entity
Organization
Contact information
Practice address
19495 BISCAYNE BLVD, SUITE 200, AVENTURA, FL 33180-2318
(305) 932-9877
(305) 932-2098
Mailing address
10700 INDIAN TRL, FT LAUDERDALE, FL 33328-5507
(954) 252-3305
(305) 932-2098
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
01/02/2009
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