FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS LLC - NPI 1174899082

Q: What is Florida Advanced Medical And Derm Aesthetics LLC's specialty?

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

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About Florida Advanced Medical And Derm Aesthetics Llc NPPES

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

FLORIDA ADVANCED MEDICAL AND DERM AESTHETICS LLC (NPI 1174899082) is a healthcare organization registered as a family medicine in Delray Beach, Florida and active in the NPI registry since March 2012. The organization holds a CLIA Microscopy certificate valid through March 31, 2027 and lists Anjan Patel, Manager, as its authorized official.

NPPES Registry Identity

NPI1174899082

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFLORIDA ADVANCED MEDICAL AND DERM AESTHETICS LLC

Location Address13660 S JOG RD STE 1BDelray Beach, FL 33446-3806

Mailing Address13660 S Jog Rd Ste 1bDelray Beach, FL 33446-3806 · (561) 499-6622 · Fax (561) 499-6795

Phone(561) 499-6622

Fax(561) 499-6795

Organization SubpartNo

Authorized OfficialAnjan PatelManager · (215) 435-8011

Enumeration DateMarch 25, 2012

Last NPPES UpdateFebruary 14, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2025

✔ NPI 1174899082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

13660 S JOG RD STE 1B, Delray Beach, FL 33446

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 10D0943188

Florida Advanced Medical And Derm Aesthetics LLC · Delray Beach, FL

Active · expires Mar 31, 2027

CLIA Number10D0943188

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2025

Certificate Expiration DateMarch 31, 2027

Laboratory DirectorAnjan Patel

Laboratory Phone(561) 499-6622

Laboratory LocationFlorida Advanced Medical And Derm Aesthetics LLC13660 South Jog Road Suite B1, Delray Beach, FL 33446

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

KEVIN MARCUS LUKS PA

Physician Assistant (Medical)