American Mane LLC
Clinic/Center in Aventura, FL. Organization (NPI-2).
NPI number1316613615
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1316613615
- Entity type
- Organization (NPI-2)
- Legal business name
- American Mane LLC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2021
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
21110 Biscayne Blvd Ste 406Aventura, FL 33180-1252
Phone 305-727-4247
Mailing address
21110 Biscayne Blvd Ste 406Aventura, FL 33180-1252
Phone 305-727-4247
Authorized official
Eliran Halliva
Owner
3057274247
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