DERMAGENESIS MEDSPA, INC. (NPI# 1366618522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366618522 |
| Entity Type | Organization |
| Organization Name | DERMAGENESIS MEDSPA, INC. |
| Practice Address |
2700 Sw 194th Ter Miramar FL 33029-2483 |
| Practice Telephone | 3058203377 |
| Practice Fax Number | 3058203388 |
| Mailing Telephone | 3058203377 |
| Mailing Fax Number | 3058203388 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2011-03-19 |
| Authorized Official Name | DR. ALEXANDER LOUIS SCHEUERMANN (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3058203377 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | OS10159 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | OS10159 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2700 SW 194TH TER |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33029-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537693 | Blue Life Medical Center LLC | General Practice | 6272 Miramar Pkwy, Miramar, FL 33023-3942 | 2018-11-19 |
| 1386159416 | Jodelyn Turenne | General Practice | 11551 Sw 26th St Apt 208, Miramar, FL 33025-7540 | 2017-12-12 |
| 1275864282 | Cora Investments LLC | General Practice | 11904 Miramar Pkwy, Miramar, FL 33025-7005 | 2010-01-15 |
| 1821206319 | Victor Adam Jaffe | General Practice | 3100 Sw 145th Ave, Miramar, FL 33027-6610 | 2007-05-18 |
| 1003911223 | United Baptist Group of Broward | General Practice | 14359 Miramar Pkwy, Suite 347, Miramar, FL 33027-4134 | 2006-09-13 |
| 1346295862 | Sergio Balcazar | General Practice | 5062 Sw 139 Terr, Miramar, FL 33027 | 2006-05-23 |
| 1275583528 | United Baptist Group of Broward | General Practice | 14359 Miramar Parkway, Ste 347, Miramar, FL 33027 | 2006-05-10 |
| 1245838168 | Devoted Medical Group, PC | General Practice | 2801 Sw 149th Ave Ste 100, Miramar, FL 33027-4166 | 2020-10-13 |
| 1295365252 | Guidner Bien-aime | General Practice | 6245 Miramar Pkwy Ste 102, Miramar, FL 33023-3964 | 2020-01-17 |
| 1114302841 | Medirectors, LLC | General Practice | 3000 Sw 148th Ave, Suite 215, Miramar, FL 33027-4169 | 2015-07-23 |
| Find all providers in MIRAMAR | ||||
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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.