COASTAL AESTHETIC CENTER PA
Radiology at Health Park Blvd, Saint Augustine, FL

License number
Florida ME99062
Category
Radiology
Type
Plastic and Reconstructive Surgery
Owner
Name: WINNIE VU
Title: OFFICE MANAGER
Phone: (386) 252-0071
Address
Address
301 Health Park Blvd STE 109, Saint Augustine, FL 32086
National Provider ID: 1114119393
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Coastal Aesthetic Center, PA

301 Health Park Blvd, Saint Augustine, FL 32086

Industry:
Chiropractor's Office
Registration:
Apr 9, 2007
State ID:
P07000043682
Business type:
Domestic for Profit Corporation
President, Treasurer, Director, Secretary:
Anh Vu (President, Treasurer, Director, Secretary)
Agent:
Kelly M. Wilson

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