| Vitalogy Skin Lab, Llc | |
|
8950 Sw 74th Ct Ste 2205 Miami FL 33156-3181 | |
| (305) 563-7877 | |
| Not Available |
| Full Name | Vitalogy Skin Lab, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8950 Sw 74th Ct Ste 2205, Miami, Florida |
| Authorized Official Name and Position | Stephanie Giselle Landa (OWNER/PRESIDENT) |
| Authorized Official Contact | 3055637877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalogy Skin Lab, Llc 8950 Sw 74th Ct Ste 2205 Miami FL 33156-3181 Ph: (305) 563-7877 | Vitalogy Skin Lab, Llc 8950 Sw 74th Ct Ste 2205 Miami FL 33156-3181 Ph: (305) 563-7877 |
| NPI Number | 1083477202 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083477202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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