NPI 1003159963

Leaf It Up Medspa,llc

Organisation Specialist Hollywood, FL

Practice location

Address: 1000 N Broadwalk STE 1, Hollywood, FL 33019-1221
Phone: (954) 391-9869
Fax: (954) 573-6505

Authorised official

Name: Ivel Cristina de Freitas
Title: Medical Director
Phone: (954) 391-9869

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence ME107216 (FL)

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Registry record

NPI: 1003159963
Entity type: Organization
NPI issued: 29 Mar 2013
Record last updated: 29 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.