Radiant Aesthetic LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RADIANT AESTHETIC LLC

Practice address

190 Congress Park Dr Ste 180
Delray Beach, FL 33445-4707

Phone

(561) 501-4482

Fax

(561) 501-4898

NPI assigned

Jan 15, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Susan Ricca

Title

Ceo

Phone

(561) 501-4482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1801304654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CONGRESS PARK DR STE 180",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454707",
            "telephone_number": "561-501-4482",
            "fax_number": "561-501-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CONGRESS PARK DR STE 180",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454707",
            "telephone_number": "561-501-4482",
            "fax_number": "561-501-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT AESTHETIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "RICCA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-501-4482",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura S Raben, MPT
• Robert J Rabiea, MD
• Eric Jason Rabinowitz, DMD. MS
• Christine Raden
• Robert W Raden, MD
• Tibor Gyorgy Radvany, MD
• Bonnie Rae, DMD
• Sydney Rafael, LMHC
• Ira L Raff, MD
• Ryan Raffa

• Specialist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.