Glo Aesthetic & Laser Institute LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

OS6841 Issued in FL

Legal business name

GLO AESTHETIC & LASER INSTITUTE LLC

Doing business as

Boca VIP Dermatology & Laser Institute

Practice address

7100 W Camino Real
Suite 206
Boca Raton, FL 33433-5510

Phone

(561) 704-4565

Fax

(561) 368-2264

NPI assigned

Mar 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jack Alan Danton, DO

Title

Medical Director

Phone

(561) 704-4565

Specialties & licenses 2

Addresses

Other names 1

• Boca VIP Dermatology & Laser Institute Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacalyn Ann Danton, D.O.

  • Family Medicine Physician
  • Pompano Beach, FL
  • NPI 1437362878
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1013189075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 PALACIO DEL MAR DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334149",
            "telephone_number": "561-704-4565",
            "fax_number": "561-368-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "SUITE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-704-4565",
            "fax_number": "561-368-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLO AESTHETIC & LASER INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "DANTON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-704-4565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "OS6841",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca VIP Dermatology & Laser Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven R. Glickman, D.D.S.
• Gediminas Gliebus, M.D.
• Dymarie Glines
• Edymar Danielle Glines, BCBA
• Amanda Glinton, NP
• Global Connect of Florida LLC
• Global Nutrition, LLC
• Global Rescue Jets
• Globalnet Pharmacies
• Globex Community Development Center

• Procedural Dermatology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.