| NPI | 1922858042 |
|---|---|
| Doing Business As | DIVINE MED SPA & CLINIC |
| Entity Type | Organization |
| Authorized Contact | ADELINE PIERRE Owner 954-681-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-06-07 |