| Metamorphosis Medispa & Wellness Center | |
|
2104 Tyler St Hollywood FL 33020-6717 | |
| (561) 275-9522 | |
| (561) 228-0773 |
| Full Name | Metamorphosis Medispa & Wellness Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2104 Tyler St, Hollywood, Florida |
| Authorized Official Name and Position | Simone Van - Horne (CEO) |
| Authorized Official Contact | 3157756018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Medispa & Wellness Center 2104 Tyler St Hollywood FL 33020-6717 Ph: (561) 275-9522 | Metamorphosis Medispa & Wellness Center 2104 Tyler St Hollywood FL 33020-6717 Ph: (561) 275-9522 |
| NPI Number | 1861898843 |
|---|---|
| Provider Enumeration Date | 11/18/2014 |
| Last Update Date | 02/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861898843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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