Organization · Type 2 NPI

Dermagenesis Medspa, Inc.

General Practice Physician · Miramar, FL

NPI number 1366618522 Active

Practice location

2700 SW 194th Ter
Miramar, FL 33029-2483

Call (305) 820-3377 Map

Fax (305) 820-3388

Specialties and licenses

TaxonomyCodeLicense
Neuromusculoskeletal Medicine & OMM Physician 204D00000XOS10159 (FL)
General Practice Physician Primary 208D00000XOS10159 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1366618522

Dermagenesis Medspa, Inc.'s National Provider Identifier is 1366618522, issued on May 7, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Miramar, FL. The record was last updated on Mar 19, 2011.