Organization
ADVANDERM CLINICAL MEDSPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA ANDERSON APRN (OWNER/PROVIDER)
(954) 399-9021
Entity
Organization
Contact information
Practice address
2890 GRIFFIN RD STE 4, FORT LAUDERDALE, FL 33312-5669
(954) 399-9021
(954) 708-1435
Mailing address
1612 SALERNO CIR, WESTON, FL 33327-1904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740882851
NPI1
FL
Enumeration date
07/17/2026
Last updated
07/17/2026
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