Florida Advanced Medical and Derm Aesthetics, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC

Practice address

13660 S Jog Rd Ste 1B
Delray Beach, FL 33446-3806

Phone

(561) 499-6622

NPI assigned

Jul 8, 2021

Organization subpart

Yes

Parent organization

FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLCAs reported in NPPES

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

Authorized official

Name

Anjan PatelNPI 1255645156

Title

Office Manager

Phone

(561) 994-7358

Specialties & licenses 1

Addresses

Other names 1

• Florida Advanced Medical And Derm Aesthetics, LLC Other name

Part of

FL Advanced Medical Derm

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Florida Advanced Medical and Derm Aesthetics LLC

  • Family Medicine Physician
  • Delray Beach, FL
  • NPI 1174899082
  NPPES parent name

Practitioners 1

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

• Anjan Patel, M.D.

  • Family Medicine Physician
  • Delray Beach, FL
  • NPI 1255645156
  NPD Authorized official

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1508437757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17940 S MILITARY TRL STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 S JOG RD STE 1B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463806",
            "telephone_number": "561-499-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS, LLC",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANJAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-994-7358"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Advanced Medical And Derm Aesthetics, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.