South Florida Institute for Laser Vaginal Rejuvenation, INC
NPI #1669630257 in South Miami, Florida
Provider Information
- NPI Number
- 1669630257
- Entity Type
- Organization
- Organization Name
- South Florida Institute for Laser Vaginal Rejuvenation, INC
- Primary Specialty
- Specialist
- Enumeration Date
- May 30, 2008
- Last Updated
- May 30, 2008
Practice Location
- Address
- 7600 SW 57TH AVE
- Address 2
- SUITE 201
- City
- South Miami
- State
- Florida
- ZIP Code
- 33143-5428
- Phone
- (305) 668-2853
Authorized Official
- Name
- RAFAEL ANTUN, M.D
- Title
- PRESIDENT
- Phone
- (305) 668-2853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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