| Pure Cut Essentials LLC | |
|
5441 Nw 179th Ter Miami Gardens FL 33055-3137 | |
| (954) 629-1014 | |
| Not Available |
| Full Name | Pure Cut Essentials LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 5441 Nw 179th Ter, Miami Gardens, Florida |
| Authorized Official Name and Position | Larenna Barias (DIRECTOR) |
| Authorized Official Contact | 9546291014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Cut Essentials LLC 5441 Nw 179th Ter Miami Gardens FL 33055-3137 | Pure Cut Essentials LLC 5441 Nw 179th Ter Miami Gardens FL 33055-3137 Ph: (954) 629-1014 |
| NPI Number | 1942954722 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942954722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 291U00000X | Clinical Medical Laboratory | () | Secondary |
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