Organization
GENESIS AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS CEPEDA (MEMBER)
(561) 325-8530
Entity
Organization
Contact information
Practice address
9511 JAGGED CREEK CT, DELRAY BEACH, FL 33446-9525
(561) 325-8530
Mailing address
9511 JAGGED CREEK CT, DELRAY BEACH, FL 33446-9525
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME97906
FL
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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