South Florida Anti-Aging & Aesthetics, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ARNP9182895 Issued in FL

Legal business name

SOUTH FLORIDA ANTI-AGING & AESTHETICS, LLC

Doing business as

Stone Wellness Center

Practice address

500 SE 17TH St
200
Fort Lauderdale, FL 33316-2547

Phone

(954) 906-0399

NPI assigned

Dec 30, 2015

Last updated

Dec 30, 2015By 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

Dr. Jennifer Stone, DNP, ARNP, FNP-BCNPI 1619154150

Title

Owner/Nurse Practitioner

Phone

(954) 906-0399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stone Wellness Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lynn Stone, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1619154150
  NPD (past) Authorized official

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1689039000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 PARKSIDE CIR S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334868569",
            "telephone_number": "954-906-0399",
            "fax_number": "954-906-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE 17TH ST",
            "address_2": "200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162547",
            "telephone_number": "954-906-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA ANTI-AGING & AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "954-906-0399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ARNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ARNP9182895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000670200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Broward Hospital District (MPC Sports Medicine Cypress Creek)
• South Broward Hospital District (Memorial Division of Population Health)
• South Broward Hospital District (Memorial Urgent Care Center)
• South Broward Hospital District (Memorial Primary Care Employee Health Center-City of Hollywood)
• South FL Assisting LLC
• South Florida Cancer Institute
• South Florida Center for Counseling and Therapy
• South Florida Drug & Alcohol Rehab
• South Florida Eye Associates, PA
• South Florida Injury Centers, Inc.

• Health Service Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.