AGELESS AESTHETICS OF FLORIDA NPI 1104322569

NPI Information

  • NPI: 1104322569
  • Provider Name: AGELESS AESTHETICS OF FLORIDA
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: AGELESS AESTHETICS
  • Address: 1986 35TH AVE
    VERO BEACH, FL
    ZIP 32960
  • Phone: (772) 999-5664

Map and Directions

Get Directions

NPI Details

AGELESS AESTHETICS OF FLORIDA is a clinic center in Vero Beach, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AGELESS AESTHETICS OF FLORIDA NPI is 1104322569. The provider is registered as an organization entity type.
The provider Other Name Is Ageless Aesthetics.

The provider's business location address is:

1986 35TH AVE
VERO BEACH, FL
ZIP 32960-533
Phone: (772) 999-5664

The provider's authorized official is Joseph P Crawford .
The authorized official title is President and has the following contact phone number (772) 999-5664.

The enumeration date for this NPI number is 4/4/2018 and was last updated on 6/16/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ME0046397OTHERFLORIDAMEDICAL LIC

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI