Organization
LASER THERAPY HEALTH AND WELLNESS CENTER
Active
Other names
Timeless Age Medical
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI GOLD V.P/CFO (BUSINESS OWNER)
(954) 455-8400
Entity
Organization
Contact information
Practice address
800 E HALLANDALE BEACH BLVD, SUITE 15, HALLANDALE BEACH, FL 33009-4477
(954) 455-8400
(954) 455-0300
Mailing address
800 E HALLANDALE BEACH BLVD, SUITE 15, HALLANDALE BEACH, FL 33009-4477
(954) 455-8400
(954) 455-0300
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
2114
FL
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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