Organization
SOUTH FLORIDA ANTI-AGING & AESTHETICS, LLC
Active
Organization
SOUTH FLORIDA ANTI-AGING & AESTHETICS, LLC
Active
Other names
Stone Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER STONE DNP, ARNP, FNP-BC (OWNER/NURSE PRACTITIONER)
(954) 906-0399
Entity
Organization
Contact information
Practice address
500 SE 17TH ST, 200, FORT LAUDERDALE, FL 33316-2547
(954) 906-0399
Mailing address
2050 PARKSIDE CIR S, BOCA RATON, FL 33486-8569
(954) 906-0399
(954) 906-0399
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ARNP9182895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000670200
—
FL
Enumeration date
12/30/2015
Last updated
12/30/2015
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