Provider Demographics
NPI:1144195074
Name:ROSE BELLA MED SPA LLC
Entity type:Organization
Organization Name:ROSE BELLA MED SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:E
Authorized Official - Last Name:AMORES POMARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-281-8339
Mailing Address - Street 1:13155 SW 134TH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4487
Mailing Address - Country:US
Mailing Address - Phone:305-972-5669
Mailing Address - Fax:305-847-2812
Practice Address - Street 1:13155 SW 134TH ST STE 106
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4487
Practice Address - Country:US
Practice Address - Phone:305-972-5669
Practice Address - Fax:305-847-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty