Radiance South, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RADIANCE SOUTH, PLLC

Practice address

8440 S Dixie Hwy
Radiance Medspa
Miami, FL 33143-7805

Phone

(305) 668-4772

Fax

(305) 668-6140

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dipakray M Parekh

Title

President

Phone

(305) 668-4772

Specialties & licenses 1

Addresses

Other names 1

• Radiance Medspa of South Miami Doing business as

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376608455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 S DIXIE HWY",
            "address_2": "RADIANCE MEDSPA",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437805",
            "telephone_number": "305-668-4772",
            "fax_number": "305-668-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 S DIXIE HWY",
            "address_2": "RADIANCE MEDSPA",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437805",
            "telephone_number": "305-668-4772",
            "fax_number": "305-668-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE SOUTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "DIPAKRAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-668-4772"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiance Medspa of South Miami",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.