Organization
DEFINITIVE BEAUTY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERLINE DORT BROWN AUTONOMOUS ARNP- WHN (PRACTITIONER)
(407) 319-5378
Entity
Organization
Contact information
Practice address
3520 AVALON PARK EAST BLVD STE 301, ORLANDO, FL 32828-7367
(407) 319-5378
Mailing address
3520 AVALON PARK EAST BLVD STE 301, ORLANDO, FL 32828-7367
(407) 319-5378
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/25/2024
Last updated
02/26/2024
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