Organization
AQUABELLA AESTHETIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRENY C GONZALEZ (ONWER)
(786) 371-9319
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 171, DORAL, FL 33122-1082
(786) 371-9319
Mailing address
1950 SW 122ND AVE, MIAMI, FL 33175-7369
(786) 371-9319
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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