| Avous Medspa, Professional Limited Liability Company | |
|
10501 6 Mile Cypress Pkwy Ste 110 Fort Myers FL 33966-6400 | |
| (239) 355-4769 | |
| Not Available |
| Full Name | Avous Medspa, Professional Limited Liability Company |
|---|---|
| Speciality | Clinic/center |
| Location | 10501 6 Mile Cypress Pkwy Ste 110, Fort Myers, Florida |
| Authorized Official Name and Position | Viergela Deshommes Joseph (OWNER) |
| Authorized Official Contact | 2396033734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avous Medspa, Professional Limited Liability Company 10501 6 Mile Cypress Pkwy Ste 110 Fort Myers FL 33966-6400 Ph: (239) 355-4769 | Avous Medspa, Professional Limited Liability Company 10501 6 Mile Cypress Pkwy Ste 110 Fort Myers FL 33966-6400 Ph: (239) 355-4769 |
| NPI Number | 1235980475 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235980475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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