Organization Active NPI

Radiance Health and Beauty

  • Specialist
  • Winter Park, FL
National Provider Identifier
1992171037
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
FS878771 Issued in FL
Legal business name
RADIANCE HEALTH AND BEAUTY
Practice address
1850 W Fairbanks Ave
Winter Park, FL 32789-4559
Phone
(407) 758-7874
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Rocio I Lora, FS/LMT
Title
Full Specialist/LMT
Phone
(407) 758-7874

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X FS878771 FL Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60398 FL

Addresses

Primary practice location

1850 W Fairbanks Ave
Winter Park, FL 32789-4559

Mailing address

936 S Lake Sterling CT
Casselberry, FL 32707-5400
Phone (407) 758-7874

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1992171037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 S LAKE STERLING CT",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075400",
            "telephone_number": "407-758-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894559",
            "telephone_number": "407-758-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE HEALTH AND BEAUTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "LORA",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "FULL SPECIALIST/LMT",
        "authorized_official_telephone_number": "407-758-7874",
        "authorized_official_credential": "FS/LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "FS878771",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA60398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.