Ethereal Medspa LLC
Ethereal Medspa LLC is a Family Nurse Practitioner in Miami, Florida. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13011 SW 132nd St Ste BMiami, FL 33186-7197
Phone: (786) 804-1241
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|
Record details
| NPI number | 1750182168 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Isabel Gomez Hernandez — Owner · (786) 804-1241 |
| NPI enumerated | March 21, 2025 |
| Last updated in NPPES | March 21, 2025 |
| Certification date | March 21, 2025 |
| Mailing address | 16894 Sw 143rd Pl, Miami, FL 33177-2755 |
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