Organization
ELITE AESTHETICS, LLC
Active
Other names
Elite Aesthetics Spa & Wellness Loft
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA METAKES APRN (APRN)
(386) 682-1687
Entity
Organization
Contact information
Practice address
110 W 1ST ST STE 236, SANFORD, FL 32771-1202
(386) 682-1687
Mailing address
6 COCONUT ROW, PORT ORANGE, FL 32127-8316
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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