Avant Garde Salon
NPI #1568757821 in Gainesville, Florida
Provider Information
- NPI Number
- 1568757821
- Entity Type
- Organization
- Organization Name
- Avant Garde Salon
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jun 15, 2011
- Last Updated
- Jun 15, 2011
Practice Location
- Address
- 1310 SW 13TH ST
- Address 2
- SUITE G
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32608-1121
- Phone
- (352) 376-0037
Authorized Official
- Name
- MR. MICHAEL JOSEPH MOOK, LMT
- Title
- OWNER
- Phone
- (352) 376-0037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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