Gloss Salon & Spa

Primary specialty

ContractorTaxonomy code 171W00000X

License

53688 Issued in FL

Legal business name

GLOSS SALON & SPA

Practice address

1255 37TH St
Suite
Vero Beach, FL 32960-6550

Phone

(772) 562-2400

NPI assigned

Feb 28, 2013

Last updated

Feb 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Acosta, L.M.T

Title

Manager

Phone

(772) 567-5555

Specialties & licenses 1

Addresses

Other names 1

• Vero Cosmetic Center Former legal business name

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1033459987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LIVE OAK RD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631431",
            "telephone_number": "772-567-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 37TH ST",
            "address_2": "SUITE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606550",
            "telephone_number": "772-562-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOSS SALON & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-567-5555",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "FL",
            "license": "53688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vero Cosmetic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Contractor in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.