Provider Demographics
NPI:1790568343
Name:BHG AESTHETICS
Entity Type:Organization
Organization Name:BHG AESTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAREN
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:689-254-4873
Mailing Address - Street 1:210 N WESTMONTE DR STE 2004
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3357
Mailing Address - Country:US
Mailing Address - Phone:689-254-4873
Mailing Address - Fax:
Practice Address - Street 1:210 N WESTMONTE DR STE 2004
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3357
Practice Address - Country:US
Practice Address - Phone:689-254-4873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory