MEDICARE: AESTHETIC MEDICAL ACADEMY USA INC

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
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1306783303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AESTHETIC MEDICAL ACADEMY USA INC

Provider Business Mailing Address
First Line	:	9900 STIRLING RD STE 301
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-8066
Country	:	US
Telephone Number	:	954-928-6497
Fax Number	:

Provider Business Practice Location Address
First Line	:	9900 STIRLING RD STE 301
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-8066
Country	:	US
Telephone Number	:	954-928-6497
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. INGRID ISABEL HERNANDEZ
Credential	:	APRN
Telephone Number	:	954-928-6497

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	04/29/2026

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