OrganizationHarley'S Intra Beauty Wellness Solutions LlcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address18142 SW 97th Ave, Palmetto Bay, FL 33157-5501(786) 454-3880PECOS EnrollmentBased on the most recent information from CMS, provider Harley'S Intra Beauty Wellness Solutions Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1508723016Provider TypeOrganizationFull NameHarley'S Intra Beauty Wellness Solutions LlcSubpartNoEnumeration Date1/7/2026Last Updated1/27/2026Contact InformationPractice LocationPractice Address18142 SW 97th Ave, Palmetto Bay, FL 33157-5501Phone(786) 454-3880Fax(786) 454-3881Mailing LocationMailing Address18142 SW 97th Ave, Palmetto Bay, FL 33157-5501Phone(786) 454-3880Fax(786) 454-3881Authorized OfficialNameGascon Diaz, Rodsana (Owner/Prsident)Phone(786) 803-2593Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer