Medical Aesthetic Arts

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME56269 Issued in FL

Legal business name

MEDICAL AESTHETIC ARTS

Practice address

2520 W Bay Dr
Largo, FL 33770-1935

Phone

(727) 586-0545

Fax

(727) 586-0547

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Abner Martin Landry III, MD

Title

Owner/Physician

Phone

(727) 586-0545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1760810816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701935",
            "telephone_number": "727-586-0545",
            "fax_number": "727-586-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701935",
            "telephone_number": "727-586-0545",
            "fax_number": "727-586-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AESTHETIC ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "ABNER",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "727-586-0545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME56269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.