Organization Active NPI

Azuree Aesthetics & Skin Care Specialists, LLC

  • Dermatology Physician
  • Winter Haven, FL
National Provider Identifier
1255287421
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
AZUREE AESTHETICS & SKIN CARE SPECIALISTS, LLC
Practice address
304 3Rd St SW Ste 3
Winter Haven, FL 33880-3409
Phone
(863) 529-6899
Fax
(863) 225-1148
NPI assigned
Mar 9, 2026
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Melinda Rene Short-Russell, DNP, APRN, FNP-BCNPI 1871789917
Title
Owner
Phone
(863) 259-6807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

304 3Rd St SW Ste 3
Winter Haven, FL 33880-3409

Mailing address

304 3Rd St SW Ste 3
Winter Haven, FL 33880-3409
Phone (863) 529-6899

National Provider Directory

National Provider Directory

Locations

304 3rd St SW
Ste 3
Winter Haven, FL 33880
Phone (863) 529-6899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1255287421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 3RD ST SW STE 3",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803409",
            "telephone_number": "863-529-6899",
            "fax_number": "863-225-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 3RD ST SW STE 3",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803409",
            "telephone_number": "863-529-6899",
            "fax_number": "863-225-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUREE AESTHETICS & SKIN CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "SHORT-RUSSELL",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-259-6807",
        "authorized_official_credential": "DNP, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.