Shino Bay Cosmetic Dermatology & Laser Institute LLC
NPI #1164690582 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1164690582
- Entity Type
- Organization
- Organization Name
- Shino Bay Cosmetic Dermatology & Laser Institute LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Feb 19, 2008
- Last Updated
- Sep 8, 2008
Practice Location
- Address
- 350 E LAS OLAS BLVD
- Address 2
- SUITE 110
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33301-4211
- Phone
- (954) 765-3005
Authorized Official
- Name
- SHINO B AGUILERA, DO
- Title
- OWNER
- Phone
- (954) 765-3005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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