ETHEREAL MEDSPA LLC

MIAMI, FL
NPI1750182168
Entity TypeOrganization
Authorized ContactISABEL M GOMEZ HERNANDEZ
Owner
786-804-1241
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2025-03-21
Last Update Date2025-03-21
Business Address
ETHEREAL MEDSPA LLC
13011 SW 132ND ST STE B
MIAMI, FL 33186-7197
Phone number: 786-804-1241
Mailing Address
ETHEREAL MEDSPA LLC
16894 SW 143RD PL
MIAMI, FL 33177-2755
Phone number: 786-804-1241