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ELITE MEDICINE AND AESTHETIC INSTITUTE
NPI 1154735819
Family Medicine in Boca Raton, FL

Active since June 20, 2014CLIA 10D2098860 · Waiver
1905 CLINT MOORE RD, SUITE 203, BOCA RATON, FL 33496(561) 826-6650(561) 826-6649 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elite Medicine And Aesthetic Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE MEDICINE AND AESTHETIC INSTITUTE (NPI 1154735819) is a healthcare organization registered as a family medicine in Boca Raton, Florida and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Fawn Winkelman, President, as its authorized official.

NPPES Registry Identity

NPI1154735819
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELITE DERMATOLOGY AND AESTHETIC INSTITUTE, LLC
Location Address1905 CLINT MOORE RD, SUITE 203Boca Raton, FL 33496-2658
Mailing Address1905 Clint Moore Rd, Suite 203Boca Raton, FL 33496-2658 · (561) 826-6650 · Fax (561) 826-6649
Phone(561) 826-6650
Fax(561) 826-6649
Organization SubpartNo
Authorized OfficialFawn WinkelmanPresident · (561) 826-6650
Enumeration DateJune 20, 2014
Last NPPES UpdateNovember 19, 2015
✔ NPI 1154735819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS1629
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1905 CLINT MOORE RD, Boca Raton, FL 33496
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Other Names 1

Doing Business AsElite Medicine And Aesthetic Institute

Other Identifiers 1

Other11877AFL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2098860

Elite Medicine And Aesthetic Institute · Boca Raton, FL
Active · expires Jul 15, 2027
CLIA Number10D2098860
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorFawn Winkelman
Laboratory Phone(561) 826-6650
Laboratory LocationElite Medicine And Aesthetic Institute1905 Clint Moore Rd Ste 203, Boca Raton, FL 33496
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLAY BRYANT SHUMWAY DPM
Podiatrist
1905 CLINT MOORE RD
BOCA RATON, FL 33496
Palm Beach County (407) 960-1717
MICHELLE Y BRUZZO MD PA
Internal Medicine
1905 CLINT MOORE RD, SUITE 302
BOCA RATON, FL 33496
Palm Beach County (561) 988-5387
ROBERT EDGAR SONNEBORN MD
Internal Medicine
1905 CLINT MOORE RD, SUITE 201
BOCA RATON, FL 33496
Palm Beach County (561) 994-5454
ERIC SEAN LAZAR MD
Internal Medicine (Nephrology)
1905 CLINT MOORE RD, SUITE 212
BOCA RATON, FL 33496
Palm Beach County (561) 989-9070
CENTRAL PALM BEACH PHYSICIANS & URGENT CARE INC
Specialist
1905 CLINT MOORE RD, SUITE 308
BOCA RATON, FL 33496
Palm Beach County (561) 967-8888
OWEN JAY RHEINGOLD MD
Internal Medicine
1905 CLINT MOORE RD, SUITE 204
BOCA RATON, FL 33496
Palm Beach County (561) 988-0995
MRS. LINDSAY MARIE LAZZERI PT
Physical Therapist
1905 CLINT MOORE RD, SUITE 308
BOCA RATON, FL 33496
Palm Beach County (561) 955-9384
DANIEL S. KOVACS, M.D., P.A.
Plastic Surgery
1905 CLINT MOORE RD, SUITE 101
BOCA RATON, FL 33496
Palm Beach County (561) 912-9191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Dermatology And Aesthetic Institute, LLC's NPI number?

The NPI number for Elite Dermatology And Aesthetic Institute, LLC is 1154735819. It was assigned to this organization in the NPPES registry on June 20, 2014. The provider is doing business as Elite Medicine And Aesthetic Institute.

Where is Elite Dermatology And Aesthetic Institute, LLC located?

Elite Dermatology And Aesthetic Institute, LLC is located at 1905 Clint Moore Rd Suite 203, Boca Raton, FL 33496. The listed phone number is (561) 826-6650.

What is Elite Dermatology And Aesthetic Institute, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Elite Dermatology And Aesthetic Institute, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2098860) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Dermatology And Aesthetic Institute, LLC was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.