Organization
SOLUNA AESTHETIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN KHORIATY (CHIEF EXECUTIVE OFFICER)
(305) 446-0440
Entity
Organization
Contact information
Practice address
4251 SALZEDO ST, SUITE 1330, CORAL GABLES, FL 33146-1453
(305) 446-0440
(305) 446-0431
Mailing address
10185 COLLINS AVE, SUITE 1208, BAL HARBOUR, FL 33154-1600
(305) 446-0440
(305) 446-0431
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
11/24/2009
Last updated
12/20/2010
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