Basic Information
| Provider Information | |||||||||
| NPI: | 1851685176 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAUMANN COSMETIC & RESEARCH INSTITUTE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4701 N MERIDIAN AVE | ||||||||
| Address2: | SUITE 7450 | ||||||||
| City: | MIAMI BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331402910 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055325552 | ||||||||
| FaxNumber: | 3055345224 | ||||||||
| Practice Location | |||||||||
| Address1: | 4701 N MERIDIAN AVE | ||||||||
| Address2: | SUITE 7450 | ||||||||
| City: | MIAMI BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331402910 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055325552 | ||||||||
| FaxNumber: | 3055345224 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2011 | ||||||||
| LastUpdateDate: | 06/03/2011 | ||||||||
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| AuthorizedOfficialLastName: | BAUMANN | ||||||||
| AuthorizedOfficialFirstName: | LESLIE | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3055325552 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | FL | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.