DERMA BEAUTY SPA MEDICAL CLINIC
NPI 1285249987
Family Medicine in Sweetwater, FL

Active since September 10, 2020CLIA 10D2278678 · Waiver
1470 NW 107TH AVE STE M, SWEETWATER, FL 33172(305) 594-5999 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2020, Oct 9, 2020, Sep 30, 2020 and 3 more (6 updates tracked since 2020).

About Derma Beauty Spa Medical Clinic NPPES

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

DERMA BEAUTY SPA MEDICAL CLINIC (NPI 1285249987) is a healthcare organization registered as a family medicine in Sweetwater, Florida and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Francie Medina, Owner, as its authorized official.

NPPES Registry Identity

NPI1285249987
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDERMA BEAUTY SPA MEDICAL CLINIC
Location Address1470 NW 107TH AVE STE MSweetwater, FL 33172-2735
Mailing Address1470 Nw 107th Ave Ste MSweetwater, FL 33172-2735 · (305) 594-5999
Organization SubpartNo
Authorized OfficialFrancie MedinaOwner · (786) 454-6630
Enumeration DateSeptember 10, 2020
Last NPPES UpdateOctober 16, 20206 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
NPI 1285249987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1470 NW 107TH AVE STE M, Sweetwater, FL 33172

Other Names 1

Former Legal Business NameDerma Beauty Spa Medical Clinic

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 10D2278678

Derma Beauty Spa Medical Clinic LLC · Sweetwater, FL
Active · expires Mar 21, 2027
CLIA Number10D2278678
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorHugo Romeu
Laboratory Phone(305) 594-5999
Laboratory LocationDerma Beauty Spa Medical Clinic LLC2100 NW 107 Ave Suite 112, Sweetwater, FL 33172
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Multi-Specialty)
1470 NW 107TH AVE STE M
SWEETWATER, FL 33172
Clinic/Center
1470 NW 107TH AVE STE M
SWEETWATER, FL 33172
Counselor (Mental Health)
1470 NW 107TH AVE STE M
SWEETWATER, FL 33172
General Practice
1470 NW 107TH AVE STE M
SWEETWATER, FL 33172
Nurse Practitioner (Family)
1470 NW 107TH AVE STE M
SWEETWATER, FL 33172

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 Derma Beauty Spa Medical Clinic's NPI number?

The NPI number for Derma Beauty Spa Medical Clinic is 1285249987. It was assigned to this organization in the NPPES registry on September 10, 2020.

Where is Derma Beauty Spa Medical Clinic located?

Derma Beauty Spa Medical Clinic is located at 1470 NW 107th Ave Ste M, Sweetwater, FL 33172. The listed phone number is (305) 594-5999.

What is Derma Beauty Spa Medical Clinic's specialty?

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

Does Derma Beauty Spa Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2278678) is associated with this NPI, valid through March 21, 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 Derma Beauty Spa Medical Clinic was last updated on October 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.