Organization
FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC
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
Legal business name
FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC
Authorized official
ANJAN PATEL (OFFICE MANAGER)
(561) 994-7358
Entity
Organization
Contact information
Practice address
13660 S JOG RD STE 1B, DELRAY BEACH, FL 33446-3806
(561) 499-6622
Mailing address
17940 S MILITARY TRL STE 300, BOCA RATON, FL 33496-2412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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