Organization
SOUTH FLORIDA INSTITUTE FOR LASER VAGINAL REJUVENATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL ANTUN M.D (PRESIDENT)
(305) 668-2853
Entity
Organization
Contact information
Practice address
7600 SW 57TH AVE, SUITE 201, SOUTH MIAMI, FL 33143-5428
(305) 668-2853
(305) 675-2474
Mailing address
7600 SW 57TH AVE, SUITE 201, SOUTH MIAMI, FL 33143-5428
(305) 668-2853
(305) 675-2474
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME59386
FL
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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