My Spa Studio LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MY SPA STUDIO LLC

Practice address

2010 NW 150TH Ave Ste 120
Pembroke Pines, FL 33028-2888

Phone

(954) 990-0335

NPI assigned

Apr 15, 2026

Organization subpart

No

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

Authorized official

Name

Sam Khan

Title

Manager

Phone

(954) 990-0335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1639013238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE STE 120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282888",
            "telephone_number": "954-990-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE STE 120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282888",
            "telephone_number": "954-990-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SPA STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-990-0335"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Myers
• William H Myones, DMD
• Tarah Mysorewala
• Muniba Naeem

• Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.