| NPI | 1710913066 |
|---|---|
| Doing Business As | MBOD MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | GHASSAN EDWARD FAHEL Medical Director 305-374-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS7046) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |