Organization
FLORIDA FACIAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE L WALKER RDH (PRESIDENT)
(678) 773-1800
Entity
Organization
Contact information
Practice address
5427 LAWRENCE LN, NEW PORT RICHEY, FL 34652-3130
(678) 773-1800
Mailing address
5427 LAWRENCE LN, NEW PORT RICHEY, FL 34652-3130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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