| Plastic Surgery Boutique LLC | |
|
2601 Sw 37th Ave Ste 803 Miami FL 33133-2751 | |
| (305) 562-5859 | |
| Not Available |
| Full Name | Plastic Surgery Boutique LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2601 Sw 37th Ave Ste 803, Miami, Florida |
| Authorized Official Name and Position | Anne-sophie Lessard (MEDICAL DOCTOR) |
| Authorized Official Contact | 3057335560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plastic Surgery Boutique LLC 9008 Sw 215th St Cutler Bay FL 33189-3786 | Plastic Surgery Boutique LLC 2601 Sw 37th Ave Ste 803 Miami FL 33133-2751 Ph: (305) 562-5859 |
| NPI Number | 1528772027 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528772027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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