NPI | 1376608455 |
---|---|
Doing Business As | RADIANCE MEDSPA OF SOUTH MIAMI |
Entity Type | Organization |
Authorized Contact | DIPAKRAY M PAREKH President 305-668-4772 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2006-12-27 |
Last Update Date | 2020-08-22 |