Secrets Aesthetics and Wellness Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SECRETS AESTHETICS AND WELLNESS CENTER, LLC

Practice address

7601 Windermere Conroy Rd Ste 202
Orlando, FL 32835-2688

Phone

(407) 775-2845

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

John Distefano

Title

Business Manager

Phone

(352) 317-3214

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1841051752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 WINDERMERE CONROY RD STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 WINDERMERE CONROY RD STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352688",
            "telephone_number": "407-775-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECRETS AESTHETICS AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-03-18",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "DISTEFANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "352-317-3214"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Seche, M.D
• Heather Seckel, ARNP
• Shaylin Secor
• Kylie Jo Secoy, APRN,FNP-BC
• Amanda Secran-Mansilla, LCSW
• Pilar J Secrist, OTR/L
• Nahia Thalya Melendez Seda Figueroa
• Alex Jose Seda, MD
• Nylda G Seda, ARNP
• Kristen Elizabeth Sedig

• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.