Organization
ELEGANT MEDICAL SPA CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES DIAZ (OWNER)
(305) 793-1793
Entity
Organization
Contact information
Practice address
14750 SW 26TH ST STE 111, MIAMI, FL 33185-5935
(305) 456-4921
Mailing address
14750 SW 26TH ST STE 111, MIAMI, FL 33185-5935
(305) 456-4921
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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