Organization · NPI-2
Efigie Med Spa LLC
Clinical Ethicist · Miami, FL
NPI number1104756105
StatusActive
Last updated in NPPESMay 21, 2026
Details
- NPI
- 1104756105
- Entity type
- Organization (NPI-2)
- Legal business name
- Efigie Med Spa LLC
- Organization subpart
- No
- Enumeration date
- May 21, 2026
- Certification date
- May 21, 2026
- Last updated
- May 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174V00000X | Clinical Ethicist | – | – | Yes |
Practice location
2750 Sw 87th Ave Ste 206Miami, FL 33165-3264
Phone 305-954-1963
Mailing address
2750 Sw 87th Ave Ste 206Miami, FL 33165-3264
Phone 305-954-1963
Authorized official
Ricardo Castrellon
Medical Director
3059541963
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