Provider Demographics
NPI:1104617695
Name:CENTURY RESEARCH & AESTHETICS, LLC
Entity type:Organization
Organization Name:CENTURY RESEARCH & AESTHETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-535-1730
Mailing Address - Street 1:PO BOX 270618
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33688-0618
Mailing Address - Country:US
Mailing Address - Phone:813-535-1730
Mailing Address - Fax:
Practice Address - Street 1:7481 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6635
Practice Address - Country:US
Practice Address - Phone:786-536-9143
Practice Address - Fax:786-409-7609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty