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GLO AESTHETIC & LASER INSTITUTE LLC NPI 1013189075


NPI Information

NPI: 1013189075
Provider Name: GLO AESTHETIC & LASER INSTITUTE LLC

Doing Business As: BOCA VIP DERMATOLOGY & LASER INSTITUTE

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
7100 W CAMINO REAL
SUITE 206
BOCA RATON, FL
ZIP 33433
Phone: (561) 704-4565
Get Directions

GLO AESTHETIC & LASER INSTITUTE LLC is a procedural dermatology dermatology in Boca Raton, FL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). GLO AESTHETIC & LASER INSTITUTE LLC NPI is 1013189075. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Boca Vip Dermatology & Laser Institute.

The provider's business location address is:

7100 W CAMINO REAL
SUITE 206
BOCA RATON, FL
ZIP 33433-510
Phone: (561) 704-4565
Fax: (561) 368-2264

The provider's authorized official is Jack Alan Danton .
The authorized official title is Medical Director and has the following contact phone number (561) 704-4565.

The enumeration date for this NPI number is 3/31/2008 and was last updated on 12/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOS6841FLORIDANo
2207NS0135XDermatologyProcedural DermatologyOS6841FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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