Provider Demographics
NPI:1396346482
Name:BEST CHOICE WELLNESS AND AESTHETICS LLC
Entity type:Organization
Organization Name:BEST CHOICE WELLNESS AND AESTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAYAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:954-546-3481
Mailing Address - Street 1:3304 NW 29TH CT
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1105
Mailing Address - Country:US
Mailing Address - Phone:954-729-7706
Mailing Address - Fax:
Practice Address - Street 1:3900 W COMMERCIAL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33309-3333
Practice Address - Country:US
Practice Address - Phone:954-546-3481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty