Organization Active NPI

Definitive Beauty L.L.C.

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1902668809
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Feb 26, 2024

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- WHNNPI 1386217479
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.