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Organization

IN BLOOM AESTHETICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIDIA HAYDEE DE JESUS MD (MANAGER)
(561) 393-6400
Entity
Organization

Contact information

Practice address
951 NW 13TH ST STE 4A, BOCA RATON, FL 33486-2337
(561) 393-6400
Mailing address
951 NW 13TH ST STE 4A, BOCA RATON, FL 33486-2337

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
12/12/2025
Last updated
12/12/2025
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