Provider Demographics
NPI:1790058873
Name:PHARMA CARE COSMETIC CENTER, INC.
Entity Type:Organization
Organization Name:PHARMA CARE COSMETIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LIRON
Authorized Official - Middle Name:
Authorized Official - Last Name:BELTZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-227-1602
Mailing Address - Street 1:8550 W FLAGLER ST
Mailing Address - Street 2:116
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2037
Mailing Address - Country:US
Mailing Address - Phone:305-227-1602
Mailing Address - Fax:786-429-0826
Practice Address - Street 1:8550 W FLAGLER ST
Practice Address - Street 2:116
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2037
Practice Address - Country:US
Practice Address - Phone:305-227-1602
Practice Address - Fax:786-429-0826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME105585208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty