Organization
PUR AESTHETICS
Active
Other names
Samsara Aesthetics and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
IVES JODESTY MD (MEDICAL DIRECTOR)
(954) 559-4818
Entity
Organization
Contact information
Practice address
331 N UNIVERSITY DR, PLANTATION, FL 33324-1975
(954) 688-7255
Mailing address
331 N UNIVERSITY DR, PLANTATION, FL 33324-1975
(954) 688-7255
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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