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RADIANCE SOUTH PLLC NPI 1376608455


NPI Information

NPI: 1376608455
Provider Name: RADIANCE SOUTH, PLLC

Doing Business As: RADIANCE MEDSPA OF SOUTH MIAMI

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
8440 S DIXIE HWY
RADIANCE MEDSPA
MIAMI, FL
ZIP 33143
Phone: (305) 668-4772
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RADIANCE SOUTH, PLLC is a specialist in Miami, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RADIANCE SOUTH, PLLC NPI is 1376608455. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Radiance Medspa Of South Miami.

The provider's business location address is:

8440 S DIXIE HWY
RADIANCE MEDSPA
MIAMI, FL
ZIP 33143-805
Phone: (305) 668-4772
Fax: (305) 668-6140

The provider's authorized official is Dipakray M Parekh .
The authorized official title is President and has the following contact phone number (305) 668-4772.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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