SKIN PROS LLC NPI 1841072576

NPI Information

  • NPI: 1841072576
  • Provider Name: SKIN PROS LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 12713 MAGNOLIA BAY BLVD
    CLERMONT, FL
    ZIP 34711
  • Phone: (407) 205-4947

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NPI Details

SKIN PROS LLC is a family nurse practitioner in Clermont, FL. SKIN PROS LLC NPI is 1841072576. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12713 MAGNOLIA BAY BLVD
CLERMONT, FL
ZIP 34711-144
Phone: (407) 205-4947

The provider's authorized official is Michael Frasure .
The authorized official title is Owner and has the following contact phone number (407) 205-4947.

The enumeration date for this NPI number is 10/17/2023 and was last updated on 10/18/2023.

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
1363LF0000XNurse PractitionerFamilyYes

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

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