Advanced Medical and Derm Aesthetics

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME100049 Issued in FL

Legal business name

ADVANCED MEDICAL AND DERM AESTHETICS

Practice address

4640 Hypoluxo Rd
Suite 2
Lake Worth, FL 33463-7534

Phone

(561) 296-1715

NPI assigned

Aug 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Judith H Robinson, M.D.

Title

Owner

Phone

(561) 994-2632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1457583312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811870",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334811870",
            "telephone_number": "561-994-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 HYPOLUXO RD",
            "address_2": "SUITE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637534",
            "telephone_number": "561-296-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL AND DERM AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-994-2632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Anesthesia of Palm Beach County, PA
• Advanced Children'S Thepapy Inc.
• Advanced Children'S Therapy, Inc.
• Advanced Chiropractic of South Florida Inc
• Advanced Healthcare of the Palm Beaches, PLLC
• Advanced Orthopaedics Inc
• Advanced Pathology of Palm Beach County, PA
• Advanced Placement Medical Products, LLC
• Advanced Rehab Therapy Center Inc
• Advanced Surgery Center of Palm Beach County, LLC

• All providers in Lake Worth, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.