ETHEREAL MEDSPA LLC

MIAMI, FL
NPI1841117611
Entity TypeOrganization
Authorized ContactISABEL MARIA GOMEZ HERNANDEZ
Ap RN
786-804-1241
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2026-07-02
Last Update Date2026-07-14
Business Address
ETHEREAL MEDSPA LLC
13011 SW 132ND ST
MIAMI, FL 33186-7197
Phone number: 786-804-1241
Mailing Address
ETHEREAL MEDSPA LLC
13011 SW 132ND ST
MIAMI, FL 33186-7197
Phone number: 786-804-1241
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