Organization Active NPI

Skin Care Services, LLC

  • Health Service Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1497709489
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SKIN CARE SERVICES, LLC
Practice address
5550 Glades Rd
Suite 210
Boca Raton, FL 33431-7205
Phone
(561) 750-2130
Fax
(561) 367-6170
NPI assigned
May 22, 2006
Organization subpart
Yes
Parent organization
VEIN CLINICS OF AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Christopher Perez, MDNPI 1215974944
Title
Owner
Phone
(561) 472-4605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5550 Glades Rd
Suite 210
Boca Raton, FL 33431-7205

Mailing address

1901 Butterfield Rd
Suite 220
Downers Grove, IL 60515-7915
Phone (630) 725-2700

National Provider Directory

National Provider Directory
Part of
Florida Phlebology Inc

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1497709489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 BUTTERFIELD RD",
            "address_2": "SUITE 220",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605157915",
            "telephone_number": "630-725-2700",
            "fax_number": "630-725-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 GLADES RD",
            "address_2": "SUITE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317205",
            "telephone_number": "561-750-2130",
            "fax_number": "561-367-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VEIN CLINICS OF AMERICA",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-472-4605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.