| Bellux Medical And Aesthetics Group, Llc | |
|
6099 Stirling Rd Ste 223 Davie FL 33314-7236 | |
| (954) 283-0405 | |
| Not Available |
| Full Name | Bellux Medical And Aesthetics Group, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6099 Stirling Rd Ste 223, Davie, Florida |
| Authorized Official Name and Position | Sandra Milena Osorio (OWNER) |
| Authorized Official Contact | 9542830405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellux Medical And Aesthetics Group, Llc 6099 Stirling Rd Ste 223 Davie FL 33314-7236 Ph: (954) 283-0405 | Bellux Medical And Aesthetics Group, Llc 6099 Stirling Rd Ste 223 Davie FL 33314-7236 Ph: (954) 283-0405 |
| NPI Number | 1649052259 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 4981145950 |
|---|---|
| Medicare Enrollment ID | O20240917004200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649052259 | NPI | - | NPPES |
| Provider Name | Kyle H Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790032530 PECOS PAC ID: 8820233984 Enrollment ID: I20130321000211 |
| Provider Name | Sandra Melina Osorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588016786 PECOS PAC ID: 2668860966 Enrollment ID: I20211019000792 |
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