Organization
PURE CUT ESSENTIALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARENNA BARIAS (DIRECTOR)
(954) 629-1014
Entity
Organization
Contact information
Practice address
5441 NW 179TH TER, MIAMI GARDENS, FL 33055-3137
(954) 629-1014
Mailing address
5441 NW 179TH TER, MIAMI GARDENS, FL 33055-3137
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/09/2022
Last updated
03/10/2022
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