Provider Demographics
NPI:1255851036
Name:ALBERT CANAS MD AND ASSOCIATES AESTHETICS
Entity Type:Organization
Organization Name:ALBERT CANAS MD AND ASSOCIATES AESTHETICS
Other - Org Name:AC AESTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEWART
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-607-1030
Mailing Address - Street 1:1680 MICHIGAN AVE STE 901
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2550
Mailing Address - Country:US
Mailing Address - Phone:305-534-0565
Mailing Address - Fax:305-388-7752
Practice Address - Street 1:1680 MICHIGAN AVE STE 901
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2550
Practice Address - Country:US
Practice Address - Phone:305-534-0565
Practice Address - Fax:305-388-7752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63054207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty