Organization Active NPI

Shenida Desir LLC

  • Medical Specialty Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1962093971
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SHENIDA DESIR LLC
Practice address
3893 NW 73Rd Ter
Coral Springs, FL 33065-2147
Phone
(954) 918-9903
NPI assigned
Feb 2, 2021
Organization subpart
Yes
Parent organization
SHENIDA DESIRAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Shenida Desir, NPNPI 1730794280
Title
Owner
Phone
(954) 918-9903

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3893 NW 73Rd Ter
Coral Springs, FL 33065-2147

Mailing address

3893 NW 73Rd Ter
Coral Springs, FL 33065-2147
Phone (954) 918-9903

Other names 1

  • Galore MedSpa Other name

National Provider Directory

National Provider Directory
Part of
Shenida Desir LLC

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": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1962093971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3893 NW 73RD TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652147",
            "telephone_number": "954-918-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3893 NW 73RD TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652147",
            "telephone_number": "954-918-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENIDA DESIR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHENIDA DESIR",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "DESIR",
        "authorized_official_first_name": "SHENIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-918-9903",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galore MedSpa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.