# FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC
- **Other names:** Florida Advanced Medical And Derm Aesthetics, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508437757
- **Legal business name:** FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC
- **Authorized official:** ANJAN PATEL (OFFICE MANAGER)
- **Authorized official phone:** (561) 994-7358

## Contact information

- **Practice address:** 13660 S JOG RD STE 1B, DELRAY BEACH, FL 33446-3806
- **Practice address phone:** (561) 499-6622
- **Mailing address:** 17940 S MILITARY TRL STE 300, BOCA RATON, FL 33496-2412

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2021
- **Last updated:** 07/08/2021