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Organization

AESTHETICS AND HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILSON IZQUIERDO (PRESIDENT)
(305) 763-0072
Entity
Organization

Contact information

Practice address
4015 INDIAN CREEK DR APT 302, MIAMI BEACH, FL 33140-3747
(305) 763-0072
Mailing address
4015 INDIAN CREEK DR APT 302, MIAMI BEACH, FL 33140-3747
(305) 763-0072

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME112185
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0078712
CA
Enumeration date
02/11/2014
Last updated
03/11/2014
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