MEDICARE: SCULPTING VENUS 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1851156020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCULPTING VENUS INC

Provider Business Mailing Address
First Line	:	811 NE 125TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-5711
Country	:	US
Telephone Number	:	786-646-1522
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 NE 125TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-5711
Country	:	US
Telephone Number	:	305-646-1522
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. RAISA COCAR
Credential	:
Telephone Number	:	305-528-8987

Provider Enumeration Date	:	02/16/2024
Last Update Date	:	02/23/2024

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Directions to “SCULPTING VENUS INC ” Practice Location

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