Organization Active NPI

Sanctuary Medical Aesthetic Center, LLC

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1801028618
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME64073 Issued in FL
Legal business name
SANCTUARY MEDICAL AESTHETIC CENTER, LLC
Practice address
4800 N Federal Hwy
Suite C100
Boca Raton, FL 33431-5188
Phone
(561) 886-0970
Fax
(561) 886-0981
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Cindyann Senkier
Title
Office Manager
Phone
(561) 886-0970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME64073 FL Primary

Addresses

Primary practice location

4800 N Federal Hwy
Suite C100
Boca Raton, FL 33431-5188

Mailing address

4800 N Federal Hwy
Suite C100
Boca Raton, FL 33431-5188
Phone (561) 886-0970

National Provider Directory

National Provider Directory

Locations

4800 N Federal Hwy
Ste 100C
Boca Raton, FL 33431
Phone (561) 886-0970

4800 N Federal Hwy
Ste 103B
Boca Raton, FL 33431
Phone (561) 257-2968

3500 Kyoto Gardens Dr
Ste 101
Palm Beach Gardens, FL 33410
Phone (561) 493-8314

Practitioners & affiliated clinicians

Practitioners 3

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": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1801028618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY",
            "address_2": "SUITE C100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315188",
            "telephone_number": "561-886-0970",
            "fax_number": "561-886-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY",
            "address_2": "SUITE C100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315188",
            "telephone_number": "561-886-0970",
            "fax_number": "561-886-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY MEDICAL AESTHETIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "SENKIER",
        "authorized_official_first_name": "CINDYANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-886-0970"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME64073",
            "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 Apr 14, 2014; 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.