Body Rx Antiaging LLC
General Practice in Miami, FL. Organization (NPI-2).
NPI number1407280613
StatusActive
Last updated in NPPESAug 23, 2013
Details
- NPI
- 1407280613
- Entity type
- Organization (NPI-2)
- Legal business name
- Body Rx Antiaging LLC
- Organization subpart
- No
- Enumeration date
- Aug 23, 2013
- Last updated
- Aug 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
10261 Sw 72nd StSuite C105
Miami, FL 33173-3023
Phone 786-899-4514 · Fax 786-245-6701
Mailing address
10261 Sw 72nd StSuite C105
Miami, FL 33173-3023
Phone 786-899-4514 · Fax 786-245-6701
Authorized official
Steven Sevilla
Owner
7868994514
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