111 Aesthetics
111 Aesthetics is a Durable Medical Equipment & Medical Supplies in Winter Park, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
111 S Knowles Ave Ste 201Winter Park, FL 32789-4300
Phone: (321) 972-3686
Fax: (407) 250-9731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1215584958 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Evans — Manager · (321) 972-3686 |
| NPI enumerated | August 19, 2019 |
| Last updated in NPPES | April 14, 2020 |
| Certification date | April 14, 2020 |
| Mailing address | 111 S Knowles Ave Ste 201, Winter Park, FL 32789-4300 |
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