Organization
SD GLOW AND HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAI GENDRIZ (OWNER)
(305) 251-2500
Entity
Organization
Contact information
Practice address
3624 NW 36TH ST, MIAMI, FL 33142-4914
(305) 773-3971
Mailing address
3624 NW 36TH ST, MIAMI, FL 33142-4914
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
10/26/2021
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