LEAF IT UP MEDSPA,LLC
Medical Practice at Broadwalk, Hollywood, FL

License number
Florida ME107216
Category
Medical Practice
Type
Specialist
Owner
Name: DR. IVEL CRISTINA DE FREITAS MD
Title: MEDICAL DIRECTOR
Phone: (954) 391-9869
Address
Address
1000 N Broadwalk STE 1, Hollywood, FL 33019
National Provider ID: 1003159963
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LEAF IT UP MEDSPA, LLC

Hollywood, FL  -  Miami, FL

Industry:
Courier Service
Registration:
Mar 9, 2012
Addresses:
1000 N Broadwalk SUITE # 1, Hollywood, FL 33019 (Physical)
6812 NW 77 Ct, Miami, FL 33166
State ID:
L12000033721
Business type:
Florida Limited Liability Company
Managers:
Ivel Freitas (Manager), 979 Captiva Dr, Hollywood, FL 33019 (Physical),Maximo Fernandez (Manager), 979 Captiva Dr, Hollywood, FL 33019 (Physical)
Agent:
Speed Tax Llc,11365 NW 50 Ter, Miami, FL 33178 (Physical)
EIN:
45-4860392

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