Organization
NEW AGE LASER INC
Active
Other names
New Age Laser inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLE HISE (LASER CONSULTANT TECHNICIAN)
(863) 547-5406
Entity
Organization
Contact information
Practice address
103 MEDICAL CENTER AVE, SEBRING, FL 33870-5423
(863) 547-5406
Mailing address
103 MEDICAL CENTER AVE, SEBRING, FL 33870-5423
(863) 547-5406
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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