| NPI | 1588250948 |
|---|---|
| Doing Business As | AGE DEFYING EXPERTS SOUTH FLORIDA |
| Entity Type | Organization |
| Authorized Contact | DANIELA CHETAN Nurse Practitioner 786-505-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2024-10-31 |