| NPI | 1457118580 |
|---|---|
| Former Legal Business Name | NEWAGE MEDICAL AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | MAYRELIS BADA Family Nurse Practitioner 954-995-9176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-06 |