Active NPI
Definitive Beauty L.L.C.
- Clinic/Center
- Orlando, FL
National Provider Identifier
1902668809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- DEFINITIVE BEAUTY L.L.C.
- Practice address
- 3520 Avalon Park East Blvd Ste 301
Orlando, FL 32828-7367 - Phone
- (407) 319-5378
- NPI assigned
- Jan 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kerline Dort Brown, AUTONOMOUS ARNP- WHN
- Title
- Practitioner
- Phone
- (407) 319-5378
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
3520 Avalon Park East Blvd Ste 301
Orlando, FL 32828-7367
Mailing address
3520 Avalon Park East Blvd Ste 301
Orlando, FL 32828-7367
Phone (407) 319-5378
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Orlando, FL
- NPI 1386217479
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1902668809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 AVALON PARK EAST BLVD STE 301",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287367",
"telephone_number": "407-319-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 AVALON PARK EAST BLVD STE 301",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287367",
"telephone_number": "407-319-5378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEFINITIVE BEAUTY L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-25",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "KERLINE",
"authorized_official_middle_name": "DORT",
"authorized_official_title_or_position": "PRACTITIONER",
"authorized_official_telephone_number": "407-319-5378",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "AUTONOMOUS ARNP- WHN"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.