Sweetwater Aesthetic Center

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

225700000X Issued in FL

Legal business name

SWEETWATER AESTHETIC CENTER

Practice address

7389 Davie Road Ext
Hollywood, FL 33024-2421

Phone

(954) 443-6681

Fax

(954) 443-6683

NPI assigned

Oct 8, 2008

Organization subpart

No

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

Authorized official

Name

Martha C Fonseca

Title

Vice President

Phone

(954) 213-7865

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1912158973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7389 DAVIE ROAD EXT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242421",
            "telephone_number": "954-443-6681",
            "fax_number": "954-443-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7389 DAVIE ROAD EXT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242421",
            "telephone_number": "954-443-6681",
            "fax_number": "954-443-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER AESTHETIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-213-7865"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "225700000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.