Organization
MY SPA STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM KHAN (MANAGER)
(954) 990-0335
Entity
Organization
Contact information
Practice address
2010 NW 150TH AVE STE 120, PEMBROKE PINES, FL 33028-2888
(954) 990-0335
Mailing address
2010 NW 150TH AVE STE 120, PEMBROKE PINES, FL 33028-2888
(954) 990-0335
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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