Organization Active NPI

Bellissimo Medical Spa LLC

  • Internal Medicine Physician
  • Weston, FL
National Provider Identifier
1831355445
Registry record updated Aug 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8589 Issued in FL
Legal business name
BELLISSIMO MEDICAL SPA LLC
Practice address
2665 Executive Park Dr Ste 3
Weston, FL 33331-3652
Phone
(954) 384-8989
NPI assigned
Aug 3, 2008
Last updated
Aug 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2008

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

Authorized official

Name
Dr. Jean-Claude Nerette Jr., D.O.NPI 1316993470
Title
Owner
Phone
(954) 384-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS8589 FL Primary

Addresses

Primary practice location

2665 Executive Park Dr Ste 3
Weston, FL 33331-3652

Mailing address

2665 Executive Park Dr Ste 3
Weston, FL 33331-3652
Phone (954) 384-8989

National Provider Directory

National Provider Directory

Locations

2665 Executive Park Dr
Ste 3
Weston, FL 33331
Phone (305) 505-9955

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217721600000",
    "number": "1831355445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 EXECUTIVE PARK DR STE 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313652",
            "telephone_number": "954-384-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 EXECUTIVE PARK DR STE 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313652",
            "telephone_number": "954-384-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLISSIMO MEDICAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-03",
        "status": "A",
        "authorized_official_last_name": "NERETTE",
        "authorized_official_first_name": "JEAN-CLAUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-384-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; 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.