Florida Facial Clinic, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FLORIDA FACIAL CLINIC, LLC

Practice address

5427 Lawrence LN
New Port Richey, FL 34652-3130

Phone

(678) 773-1800

NPI assigned

Oct 20, 2010

Last updated

Oct 20, 2010By 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

Julie L Walker, RDH

Title

President

Phone

(678) 773-1800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1447560750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5427 LAWRENCE LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5427 LAWRENCE LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523130",
            "telephone_number": "678-773-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FACIAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-773-1800",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.