Healthcare Provider Details

I. General information

NPI: 1295649689
Provider Name (Legal Business Name): VINAS MD AESTHETICS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1347 S SR7 BUILDING 3 STE 202
WELLINGTON FL
33414
US

IV. Provider business mailing address

1347 S SR7 BUILDING 3 STE 202
WELLINGTON FL
33414
US

V. Phone/Fax

Practice location:
  • Phone: 561-786-5227
  • Fax:
Mailing address:
  • Phone: 561-786-5227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MARISA EMILIA VINAS
Title or Position: PRESIDENT
Credential: MD
Phone: 561-786-5227