Healthcare Provider Details

I. General information

NPI: 1396094496
Provider Name (Legal Business Name): GARNIER MED SPA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 09/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 W. 41ST STREET SUITE 211
MIAMI BEACH FL
33140
US

IV. Provider business mailing address

14670 SW 35 COURT
MIRAMAR FL
33027
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-0777
  • Fax: 305-532-0888
Mailing address:
  • Phone: 954-588-9014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2775
License Number StateFL

VIII. Authorized Official

Name: LESLYN ALDANA-GARNIER
Title or Position: ACUPUNCTURE PHYSICIAN
Credential: AP
Phone: 954-588-9014