# FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174899082
- **Authorized official:** DR. ANJAN PATEL M.D. (MANAGER)
- **Authorized official phone:** (215) 435-8011

## Contact information

- **Practice address:** 13660 S JOG RD STE 1B, DELRAY BEACH, FL 33446-3806
- **Practice address phone:** (561) 499-6622
- **Practice address fax:** (561) 499-6795
- **Mailing address:** 13660 S JOG RD STE 1B, DELRAY BEACH, FL 33446-3806
- **Mailing address phone:** (561) 499-6622
- **Mailing address fax:** (561) 499-6795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2012
- **Last updated:** 02/14/2025