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SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC NPI 1104282714


NPI Information

NPI: 1104282714
Provider Name: SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
4800 N FEDERAL HWY
SUITE C100
BOCA RATON, FL
ZIP 33431
Phone: (561) 886-0970
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SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC is a dermatology in Boca Raton, FL. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC NPI is 1104282714. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4800 N FEDERAL HWY
SUITE C100
BOCA RATON, FL
ZIP 33431-188
Phone: (561) 886-0970

The provider's authorized official is Jeff Davis .
The authorized official title is Ceo and has the following contact phone number (561) 430-6644.

The enumeration date for this NPI number is 1/12/2016 and was last updated on 5/20/2016.


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
1207N00000XDermatologyYes

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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