| NPI | 1205400959 |
|---|---|
| Doing Business As | LIVE MEDSPA |
| Entity Type | Organization |
| Authorized Contact | ANDRES RODRIGUEZ CEO / President 305-699-9791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2022-02-25 |