| NPI | 1437429073 |
|---|---|
| Former Legal Business Name | CELEBRITY MEDICAL SPA, LLC |
| Entity Type | Organization |
| Authorized Contact | ELDAR BOLATOVICH BAIGABATOV President 407-347-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2015-12-22 |