Organization
ANEWERFACE, INC
Active
Organization
ANEWERFACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANNE RITA FALASCO ARNP (OWNER)
(386) 801-1253
Entity
Organization
Contact information
Practice address
ADDRESS: 123 N INDUSTRIAL DR STE C, ORANGE CITY, FL 32763
(386) 801-1253
Mailing address
261 WEST GARDENIA DRIVE, ORANGE CITY, FL 32763
(386) 801-1253
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2909852
FL
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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