| Secrets Aesthetics And Wellness Center, Llc | |
|
7601 Windermere Conroy Rd Ste 202 Orlando FL 32835-2688 | |
| (407) 775-2845 | |
| Not Available |
| Full Name | Secrets Aesthetics And Wellness Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 7601 Windermere Conroy Rd Ste 202, Orlando, Florida |
| Authorized Official Name and Position | John Distefano (BUSINESS MANAGER) |
| Authorized Official Contact | 3523173214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Secrets Aesthetics And Wellness Center, Llc 7601 Windermere Conroy Rd Ste 202 Orlando FL 32835-2688 Ph: () - | Secrets Aesthetics And Wellness Center, Llc 7601 Windermere Conroy Rd Ste 202 Orlando FL 32835-2688 Ph: (407) 775-2845 |
| NPI Number | 1841051752 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 7810336211 |
|---|---|
| Medicare Enrollment ID | O20240418001086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841051752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Sacha Cesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528628864 PECOS PAC ID: 6103151196 Enrollment ID: I20190712001972 |
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