Active NPI
Skin Glow Beauty Studio LLC
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
National Provider Identifier
1376451260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SKIN GLOW BEAUTY STUDIO LLC
- Practice address
- 10844 Indies Dr N
Jacksonville, FL 32246-8843 - Phone
- (902) 608-6717
- NPI assigned
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Wilson
- Title
- Manager
- Phone
- (902) 608-6717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
10844 Indies Dr N
Jacksonville, FL 32246-8843
Mailing address
635 Cambridge CT
Longwood, FL 32750-3901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1376451260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 CAMBRIDGE CT",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327503901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10844 INDIES DR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322468843",
"telephone_number": "902-608-6717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN GLOW BEAUTY STUDIO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "902-608-6717"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
- Laura Wingo Skiles, PT
- Skilled Nursing Infectious Disease LLC
- Skills and Steps Pediatric Occupational Therapy, LLC
- Skills to Grow LLC
- Skin Glow Beauty Studio LLC
- Skin Revive Massage and Spa, LLC
- Emily Victoria Skinner
- Freida Ruth Skinner, OTD., OTR/L
- Quawendella Baejuhne Skinner, ARNP
- Raheem M Skinner, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.