Organization
MEDICAL AESTHETICS OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEENA DEMETRIOS MD (PRESIDENT)
(678) 446-8485
Entity
Organization
Contact information
Practice address
155 FOUNTAINS WAY STE 11, SAINT JOHNS, FL 32259-1144
(904) 561-1772
Mailing address
155 FOUNTAINS WAY STE 11, SAINT JOHNS, FL 32259-1144
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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