Organization Active NPI

Anti-Aging Institute of Florida

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1013350685
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ANTI-AGING INSTITUTE OF FLORIDA
Practice address
2263 Boca Raton Blvd
Suite 208
Boca Raton, FL 33431
Phone
(561) 935-9793
Fax
(561) 935-9793
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Dr. Jett Frieder
Title
President
Phone
(561) 935-9793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2263 Boca Raton Blvd
Suite 208
Boca Raton, FL 33431

Mailing address

2263 Boca Raton Blvd
Suite 208
Boca Raton, FL 33431
Phone (561) 935-9793

Other names 1

  • Anti-Aging Institute Of Florida Other name

National Provider Directory

National Provider Directory

Locations

2263 NW 2nd Ave
Ste 208
Boca Raton, FL 33431
Phone (561) 544-5900

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1013350685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 BOCA RATON BLVD",
            "address_2": "SUITE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-935-9793",
            "fax_number": "561-935-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 BOCA RATON BLVD",
            "address_2": "SUITE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-935-9793",
            "fax_number": "561-935-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTI-AGING INSTITUTE OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "FRIEDER",
        "authorized_official_first_name": "JETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-935-9793",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anti-Aging Institute Of Florida",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.