Provider Demographics
NPI:1639855802
Name:GALATIANS MEDICAL & AESTHETICS LLC
Entity Type:Organization
Organization Name:GALATIANS MEDICAL & AESTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SASHA
Authorized Official - Middle Name:MERARI
Authorized Official - Last Name:CHARRES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:954-354-2441
Mailing Address - Street 1:15891 PINES BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1220
Mailing Address - Country:US
Mailing Address - Phone:954-354-2441
Mailing Address - Fax:954-351-8428
Practice Address - Street 1:15891 PINES BLVD STE 3
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1220
Practice Address - Country:US
Practice Address - Phone:954-354-2441
Practice Address - Fax:954-351-8428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty