| La Tans, Spa & Medical Aesthetics Inc | |
|
1811 Ne 123rd St North Miami FL 33181-2805 | |
| (305) 987-0511 | |
| Not Available |
| Full Name | La Tans, Spa & Medical Aesthetics Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1811 Ne 123rd St, North Miami, Florida |
| Authorized Official Name and Position | Xavier Martinez (BILLING OFFICER) |
| Authorized Official Contact | 3059870511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Tans, Spa & Medical Aesthetics Inc 1811 Ne 123rd St North Miami FL 33181-2805 Ph: (305) 987-0511 | La Tans, Spa & Medical Aesthetics Inc 1811 Ne 123rd St North Miami FL 33181-2805 Ph: (305) 987-0511 |
| NPI Number | 1295188944 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 07/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295188944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME81585 (Florida) | Primary |
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