DERMA BEAUTY SPA MEDICAL CLINIC (NPI# 1285249987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285249987 |
| Entity Type | Organization |
| Organization Name | DERMA BEAUTY SPA MEDICAL CLINIC |
| Other Organization Name | DERMA BEAUTY SPA MEDICAL CLINIC |
| Practice Address |
1470 Nw 107th Ave Ste M Sweetwater FL 33172-2735 |
| Practice Telephone | 3055945999 |
| Mailing Telephone | 3055945999 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | FRANCIE MEDINA (OWNER) |
| Authorized Official Telephone | 7864546630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Derma Beauty spa Medical Clinic | Former Legal Business Name - Organization |
| Street Address |
1470 NW 107TH AVE STE M |
| City | SWEETWATER |
| State | FL |
| Zip Code | 33172-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366463 | Magela De Las Mercedes Rodriguez | Behavior Technician | 11252 Nw 6 Street, Miami, FL 33172 | 2018-11-27 |
| 1477030666 | Natacha Garcia | Behavior Technician | 181 Nw 97 Ave Apto 416, Miami, FL 33172 | 2018-07-20 |
| 1720578701 | Marisela Hernandez | Behavioral Analyst | 10825 Nw 7th St Apt 12, Miami, FL 33172 | 2018-05-15 |
| 1083113054 | Fuerza Vital Medical Institute, Corp | Speech-Language Pathologist | 8725 Nw 18 Terr Suite 209, Doral, FL 33172 | 2018-02-06 |
| 1063923522 | Kristen Nicole Otero | Counselor | 1414 Nw 107 Ave Suite 109, Doral, FL 33172 | 2017-10-23 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1861901944 | Lyanne M Melendez | Speech-Language Pathologist | 1750 Nw 107 Ave, Unit P-901, Miami, FL 33172 | 2017-09-21 |
| 1295259166 | Family Tender Care Services Inc | Behavioral Analyst | 9360 Fontainebleau Blvd, Unit 514, Miami, FL 33172 | 2017-08-01 |
| 1992229074 | Maria F Palabez | Behavior Technician | 9369 Fontainebleau Blvd J225, Miami, FL 33172 | 2017-07-31 |
| 1700306602 | Jenny Lemus | Behavior Technician | 10200 Nw 25th St Suite 205, Doral, FL 33172 | 2017-06-21 |
| Find all providers in zip 33172 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174561013 | Sweetwater Family Medicine Inc | Family Medicine | 205 Summit St, Sweetwater, TN 37874-2534 | 2006-06-03 |
| 1205310612 | Rag Arnp Service Corp | Family Medicine | 1470 Nw 107th Ave Ste G, Sweetwater, FL 33172-2734 | 2018-09-20 |
| 1194253948 | Leila Martinez Rubio | Family Medicine | 200 E Arizona Ave, Sweetwater, TX 79556-7120 | 2017-05-24 |
| 1174969786 | William L. Harvey, Md, PC | Family Medicine | 602 S Main St, Sweetwater, TN 37874-2708 | 2013-05-22 |
| 1972880615 | Tim Jones Md Pllc | Family Medicine | 301 Jenny George Ln, Suite 1, Sweetwater, TX 79556-7152 | 2011-11-09 |
| 1700172426 | Jennifer Gail Sinclair Liedtke | Family Medicine | 301 Jenny George Ln, Suite B6, Sweetwater, TX 79556-7152 | 2011-06-21 |
| 1558654087 | April Enard | Family Medicine | 301 Jenny George Ln, Building B, Sweetwater, TX 79556-7152 | 2011-05-17 |
| 1982773065 | Eaker Family Medicine Pa | Family Medicine | 301 Jenny George Ln, Sweetwater, TX 79556-7152 | 2006-11-06 |
| 1013956432 | Sigrid Rae Johnson | Family Medicine | 205 Summit St, Sweetwater, TN 37874-2534 | 2006-06-05 |
| 1083651681 | Luther Chatman Martin | Family Medicine | 201 E Arizona Ave, Sweetwater, TX 79556-7119 | 2006-06-01 |
| Find all providers in SWEETWATER | ||||
| City | SWEETWATER |
| Zip Code | 33172 |
Please comment or provide details below to improve the information on DERMA BEAUTY SPA MEDICAL CLINIC.
| 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.