The Center for Functional Aesthetic and Anti Aging Medicine INC
NPI #1508682089 in Winter Haven, Florida
Provider Information
- NPI Number
- 1508682089
- Entity Type
- Organization
- Organization Name
- The Center for Functional Aesthetic and Anti Aging Medicine INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 29, 2024
- Last Updated
- Nov 29, 2024
Practice Location
- Address
- 571 AVENUE K SE
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33880-4215
- Phone
- (407) 440-0708
Authorized Official
- Name
- DR. DANICE BLAISE, MD, MBA
- Title
- CHIEF EXECUTIVE OFFICER, OWNER
- Phone
- (954) 681-0068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Naturopath |
| Preventive Medicine - Obesity Medicine — Obesity Medicine |
| Internal Medicine |
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