SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC (NPI# 1104282714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104282714 |
| Entity Type | Organization |
| Organization Name | SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC |
| Practice Address |
4800 N Federal Hwy Suite C100 Boca Raton FL 33431-5188 |
| Practice Telephone | 5618860970 |
| Mailing Telephone | 5618860970 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-05-20 |
| Authorized Official Name | JEFF DAVIS (CEO) |
| Authorized Official Telephone | 5614306644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
4800 N FEDERAL HWY SUITE C100 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431-5188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940206 | Merrill H Epstein Md Pa | Psychiatry & Neurology | 4800 N Federal Hwy, Suite A205, Boca Raton, FL 33431-5176 | 2005-08-26 |
| 1033645155 | Jennifer Epstein | Social Worker | 4800 N Federal Hwy, A205, Boca Raton, FL 33431-5188 | 2017-05-10 |
| 1346775301 | Vanessa Beauchamp | Developmental Therapist | 4800 N Federal Hwy, Suite 101d, Boca Raton, FL 33431-5188 | 2017-04-27 |
| 1861853905 | Alan Gold, Md, Pa | Specialist | 4800 N Federal Hwy, Suite C101, Boca Raton, FL 33431-5188 | 2016-03-17 |
| 1619346541 | Sanctuary Plastic Surgeons LLC | Plastic Surgery | 4800 N Federal Hwy, 101c, Boca Raton, FL 33431-5188 | 2015-09-22 |
| 1396133534 | David Harvey Levine | Social Worker | 4800 N Federal Hwy, Suite 203a, Boca Raton, FL 33431-5188 | 2014-12-22 |
| 1073880886 | Jason Pozner M.d., P.a. | Specialist | 4800 N Federal Hwy, C101, Boca Raton, FL 33431-5188 | 2011-11-22 |
| 1508140658 | Beverly Joy Pedroche | Psychologist | 4800 N Federal Hwy, Suite E-102, Boca Raton, FL 33431-5188 | 2011-10-07 |
| 1568762490 | Lori B. Gleicher, Psy.d., Pa | Psychologist | 4800 N Federal Hwy, Suite A205, Boca Raton, FL 33431-5188 | 2010-10-26 |
| 1336371459 | Krystie Lennox | Physician Assistant | 4800 N Federal Hwy, Suite C100, Boca Raton, FL 33431-5188 | 2009-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1285258756 | Gagan Neupane | Student in an Organized Health Care Education/Training Program | Florida Atlantic University At Boca Raton, 670 Glades Road, Suite 400, Boca Raton, FL 33431 | 2020-06-01 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1770144123 | Mobile Dermatology Care Pllc | Dermatology | 4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450 | 2019-06-26 |
| 1790171353 | Eric Rudnick | Dermatology | 22029 State Road 7 Ste 1, Boca Raton, FL 33428-4200 | 2015-04-10 |
| 1649616970 | Moum Dermatology LLC | Dermatology | 445 S Federal Hwy, Boca Raton, FL 33432-6027 | 2013-05-14 |
| 1114361235 | Dermpartners Inc | Dermatology | 21020 State Rd 7, Suite 120, Boca Raton, FL 33428 | 2013-04-19 |
| 1831410315 | Kenneth Jon Folsom | Dermatology | 3902 Nw 23rd Ct, Boca Raton, FL 33431-5446 | 2010-06-18 |
| 1588810808 | Lloyd George Wickboldt | Dermatology | 6630 Patio Ln, Boca Raton, FL 33433-6631 | 2008-08-18 |
| 1417115304 | Channing Rachel Barnett | Dermatology | 7100 W Camino Real Ste 301, Boca Raton, FL 33433-5510 | 2008-05-28 |
| 1164626545 | Patricia Sara Klem | Dermatology | 1905 Clint Moore Rd. Ste. 103, Advanced Dermatology, Boca Raton, FL 33496 | 2007-06-12 |
| 1255545547 | John Alan Kulick | Dermatology | 22804 Marbella Circle, Boca Raton, FL 33433-3802 | 2007-05-09 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
Please comment or provide details below to improve the information on SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.