Body RX Antiaging LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BODY RX ANTIAGING LLC

Practice address

10261 SW 72ND St
Suite C105
Miami, FL 33173-3023

Phone

(786) 899-4514

Fax

(786) 245-6701

NPI assigned

Aug 23, 2013

Organization subpart

No

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

Authorized official

Name

Steven Sevilla

Title

Owner

Phone

(786) 899-4514

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1407280613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10261 SW 72ND ST",
            "address_2": "SUITE C105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733023",
            "telephone_number": "786-899-4514",
            "fax_number": "786-245-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10261 SW 72ND ST",
            "address_2": "SUITE C105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733023",
            "telephone_number": "786-899-4514",
            "fax_number": "786-245-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY RX ANTIAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "SEVILLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-899-4514"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.