Provider Demographics
NPI:1396094496
Name:GARNIER MED SPA, INC.
Entity type:Organization
Organization Name:GARNIER MED SPA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LESLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDANA-GARNIER
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-588-9014
Mailing Address - Street 1:14670 SW 35 COURT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027
Mailing Address - Country:US
Mailing Address - Phone:954-588-9014
Mailing Address - Fax:
Practice Address - Street 1:975 W. 41ST STREET
Practice Address - Street 2:SUITE 211
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-532-0777
Practice Address - Fax:305-532-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2775171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty