| NPI | 1285249987 |
|---|---|
| Former Legal Business Name | DERMA BEAUTY SPA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | FRANCIE MEDINA Owner 786-454-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-10-16 |