Provider Type Icon

FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS LLC NPI 1174899082


NPI Information

NPI: 1174899082
Provider Name: FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2047548

Address:
17940 S MILITARY TRL STE 300
BOCA RATON, FL
ZIP 33496
Phone: (561) 994-2632
Get Directions

FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC is a family medicine in Boca Raton, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC NPI is 1174899082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17940 S MILITARY TRL STE 300
BOCA RATON, FL
ZIP 33496-412
Phone: (561) 994-2632
Fax: (561) 994-7358

The provider's authorized official is Anjan Patel .
The authorized official title is Manager and has the following contact phone number (215) 435-8011.

The CLIA number assigned to this NPI record is 10D2047548 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2012 and was last updated on 6/7/2017.


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 MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.