Organization
MEDICAL ANTI-AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC TERUEL (OWNER)
(561) 613-3707
Entity
Organization
Contact information
Practice address
6559 POND APPLE RD, BOCA RATON, FL 33433-1928
(561) 613-3707
Mailing address
6559 POND APPLE RD, BOCA RATON, FL 33433-1928
(561) 613-3707
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
03/15/2016
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