HARBOUR MEDICAL AND AESTHETICS CENTER LLC NPI 1659031946

NPI Information

HARBOUR MEDICAL AND AESTHETICS CENTER LLC is a family medicine in Miami, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HARBOUR MEDICAL AND AESTHETICS CENTER LLC NPI is 1659031946. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1021 IVES DAIRY RD STE 214
MIAMI, FL
ZIP 33179-537
Phone: (305) 504-6136

The provider's authorized official is Gretel Trullenque .
The authorized official title is Authorized Official and has the following contact phone number (305) 504-6136.

The CLIA number assigned to this NPI record is 10D2244302 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2021 and was last updated on 12/28/2021.

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:

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