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General NPI Number Information
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NPI Number | 1144195074
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Entity Type | Organization
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Legal Business Name | ROSE BELLA MED SPA LLC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 13155 SW 134TH ST STE 106
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City | MIAMI
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State | FL
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Zip | 33186-4487
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Country | US
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Telephone | 305-972-5669
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Fax | 305-847-2812
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Provider Business Mailing Address
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Address Line | 13155 SW 134TH ST STE 106
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City | MIAMI
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State | FL
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Zip | 33186-4487
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Country | US
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Telephone | 305-972-5669
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Fax | 305-847-2812
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Authorized Official
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Title or Position | OWNER
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Name | LAURA E AMORES POMARES
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Credential |
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Telephone | 305-281-8339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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