Advanderm Clinical Medspa, LLC
Organization Active NPI Nurse Practitioner · Fort Lauderdale, FL
NPI 1932029121 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1932029121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- ADVANDERM CLINICAL MEDSPA, LLC
- Practice address
- 2890 Griffin Rd Ste 4
Fort Lauderdale, FL 33312-5669 - Phone
- (954) 399-9021
- Fax
- (954) 708-1435
- NPI assigned
- Jul 17, 2026
- Organization subpart
- No
Authorized official
- Name
- Ramona Anderson, APRN
- Title
- Owner/Provider
- Phone
- (954) 399-9021
National Provider Directory
Locations
2890 Griffin Rd
Ste 4
Fort Lauderdale, FL 33312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
2890 Griffin Rd Ste 4
Fort Lauderdale, FL 33312-5669
Mailing address
1612 Salerno Cir
Weston, FL 33327-1904
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740882851 | Other | FL | NPI1 |
Other providers in Fort Lauderdale, FL
- Advanced Mobility Inc.
- Advanced Recovery Systems Technology, LLC
- Advanced Regenerative Health LLC
- Advanced Vision Care Inc
- Advanced Wound Care Solution
- Advantage Home Care Services
- Advantage Senior Living Facility
- Aesthetic Dental Group
- Aesthetix Skin and Surgery Center
- Affiliated Healthcare Centers, Inc
All providers in Fort Lauderdale, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.