AGELESS AESTHETIC CENTER, LLC (NPI# 1124264973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124264973 |
| Entity Type | Organization |
| Organization Name | AGELESS AESTHETIC CENTER, LLC |
| Practice Address |
2665 Executive Park Dr Suite 1 Weston FL 33331-3652 |
| Practice Telephone | 9544544900 |
| Mailing Telephone | 9544544900 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | ALFONSO RIVIEZZO (BILLING MANAGER) |
| Authorized Official Telephone | 7199559128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
| Street Address |
2665 EXECUTIVE PARK DR SUITE 1 |
| City | WESTON |
| State | FL |
| Zip Code | 33331-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316993470 | Jean-claude Nerette Jr. | Internal Medicine | 2665 Executive Park Dr, Suite 3, Weston, FL 33331-3652 | 2006-05-26 |
| 1841452836 | Sharon P Mcquillan | Specialist | 2665 Executive Park Dr, Suite1, Weston, FL 33331-3652 | 2008-06-30 |
| 1710185566 | Stephanie Muniz Nerette | Nurse Practitioner | 2665 Executive Park Dr, Suite 3, Weston, FL 33331-3652 | 2007-07-03 |
| 1730291451 | Millicent Muir | Obstetrics & Gynecology | 2665 Executive Park Dr, Ste 1, Weston, FL 33331-3652 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
| 1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
| 1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
| 1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1942709902 | John Kross Pharmacy #2, Inc | Pharmacy | 16618 Sheridan St, Fort Lauderdale, FL 33331 | 2018-02-06 |
| 1922512342 | Luisa Fernanda Quevedo | Occupational Therapy Assistant | 4350 Mahogany Ridge Dr, Weston, FL 33331 | 2017-11-21 |
| 1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
| 1255720843 | Horse and Petting Pal Interaction, Inc. | Counselor | 17800 Sw 52 Ct, Southwest Ranches, FL 33331 | 2015-01-20 |
| Find all providers in zip 33331 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356788 | Jose R Rodriguez | Phlebology | 330 W 9th St Ste 5, Hialeah, FL 33010-3865 | 2020-08-11 |
| 1518582790 | Kimberly Ann Harriman | Phlebology | 3574 Lei Dr, Sarasota, FL 34232-5559 | 2020-06-12 |
| 1164043758 | Jasmine Tashawn Williams | Phlebology | 1441 Manotak Ave Apt 1613, Jacksonville, FL 32210-1071 | 2020-05-05 |
| 1710519640 | Heather Danielle Basagoitia | Phlebology | 1345 Sw 30th St, Fort Lauderdale, FL 33315-2842 | 2020-02-09 |
| 1184180739 | Lumiere Cosmetic Vein Center P A | Phlebology | 2546 Heydon Ln Ste 2, Cape Coral, FL 33991-3550 | 2019-02-19 |
| 1043774003 | Edward G Mackay, Md and Associates, LLC | Phlebology | 2863 Alternate 19 North, Palm Harbor, FL 34683 | 2019-01-24 |
| 1174087290 | Healthtrust Medical Center Corp | Phlebology | 7801 Coral Way Ste 112, Miami, FL 33155-6538 | 2019-01-23 |
| 1922589068 | Cynetra Zollicoffer | Phlebology | 10208 Douglas Oaks Cir Apt 104, Tampa, FL 33610-8651 | 2018-08-27 |
| 1144729575 | Labs At Your Door LLC | Phlebology | 4612 N Hiatus Rd, Sunrise, FL 33351-7909 | 2018-02-12 |
| 1881972347 | Veincare of Brevard, LLC | Phlebology | 2712 Newfound Harbor Dr, Merritt Island, FL 32952-2866 | 2011-08-01 |
| Find all providers with the same taxonomy | ||||
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| 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.