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Organization

DERMATOLOGY AND COSMETICS INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARINA OMAROV PA (PHYSICIAN ASSISTANT)
(786) 252-8258
Entity
Organization

Contact information

Practice address
2100 E HALLANDALE BEACH BLVD STE 302, HALLANDALE BEACH, FL 33009-3771
(786) 252-8258
Mailing address
1945 S OCEAN DR APT 1912, HALLANDALE BEACH, FL 33009-6089

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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