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NPI Code Detail

MEDICARE: UNIVERSAL AESTHETIC SOLUTIONS

MEDICARE: UNIVERSAL AESTHETIC SOLUTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) PhysicianME74241FL

General Provider Information

NPI Number : 1093087215
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSAL AESTHETIC SOLUTIONS
Provider Business Mailing Address
First Line : 260 95 STREET
Second Line : SURFSIDE PAIN CONTROL CENTER
City : SURFSIDE
State : FL
Zip : 33154-2807
Country : US
Telephone Number : 305-861-0078
Fax Number : 305-993-3838
Provider Business Practice Location Address
First Line : 260 95 STREET
Second Line : SURFSIDE PAIN CONTROL CENTER
City : SURFSIDE
State : FL
Zip : 33154-2807
Country : US
Telephone Number : 305-861-0078
Fax Number : 305-993-3838
Authorized Official
Title or Position : PRESIDENT
Name : DR. ASYA MIKULINSKY
Credential : M.D.
Telephone Number : 786-553-3364
Provider Enumeration Date : 02/03/2012
Last Update Date : 02/03/2012

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Directions to “UNIVERSAL AESTHETIC SOLUTIONS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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