Organization
NEW AGE MEDICAL AESTHETICS
Active
Other names
Newage Medical Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRELIS BADA (FAMILY NURSE PRACTITIONER)
(954) 995-9176
Entity
Organization
Contact information
Practice address
18901 SW 106TH AVE STE A-109, CUTLER BAY, FL 33157-7661
(954) 995-9176
Mailing address
18901 SW 106TH AVE STE A-109, CUTLER BAY, FL 33157-7661
(954) 995-9176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/05/2024
Last updated
02/18/2026
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