Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Metamorphosis Medispa & Wellness Center

Organization Internal Medicine Physician · NPI 1861898843

Metamorphosis Medispa & Wellness Center is an Internal Medicine Physician in Hollywood, Florida. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

2104 Tyler St
Hollywood, FL 33020-6717
Phone: (561) 275-9522
Fax: (561) 228-0773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1861898843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simone Van - Horne — Ceo · (315) 775-6018
NPI enumeratedNovember 18, 2014
Last updated in NPPESFebruary 27, 2015
Mailing address2104 Tyler St, Hollywood, FL 33020-6717

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