THE CENTER FOR FUNCTIONAL AESTHETIC AND ANTI AGING MEDICINE INC
NPI 1508682089
Internal Medicine in Winter Haven, FL

Q: What is The Center For Functional Aesthetic And Anti Aging Medicine Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 29, 2024

571 AVENUE K SE, WINTER HAVEN, FL 33880(407) 440-0708 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About The Center For Functional Aesthetic And Anti Aging Medicine Inc NPPES

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

THE CENTER FOR FUNCTIONAL AESTHETIC AND ANTI AGING MEDICINE INC (NPI 1508682089) is a healthcare organization registered as an internal medicine in Winter Haven, Florida and active in the NPI registry since November 2024. The organization lists Danice Blaise, Chief Executive Officer, Owner, as its authorized official.

NPPES Registry Identity

NPI1508682089

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTHE CENTER FOR FUNCTIONAL AESTHETIC AND ANTI AGING MEDICINE INC

Location Address571 AVENUE K SEWinter Haven, FL 33880-4215

Mailing Address571 Avenue K SeWinter Haven, FL 33880-4215 · (407) 440-0708

Phone(407) 440-0708

Organization SubpartNo

Authorized OfficialDanice BlaiseChief Executive Officer, Owner · (954) 681-0068

Enumeration DateNovember 29, 2024

NPPES CertifiedNovember 28, 2024

✔ NPI 1508682089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedNaturopathTaxonomy 175F00000X

Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X

571 AVENUE K SE, Winter Haven, FL 33880

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JAY CLINIC, INC

Specialist

571 AVENUE K SE
WINTER HAVEN, FL 33880

Polk County (863) 293-3909

JITENDRA MEHTA MD

Psychiatry & Neurology (Psychiatry)

571 AVENUE K SE
WINTER HAVEN, FL 33880

Polk County (863) 299-1498

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 The Center For Functional Aesthetic And Anti Aging Medicine Inc's NPI number?

The NPI number for The Center For Functional Aesthetic And Anti Aging Medicine Inc is 1508682089. It was assigned to this organization in the NPPES registry on November 29, 2024.

Where is The Center For Functional Aesthetic And Anti Aging Medicine Inc located?

The Center For Functional Aesthetic And Anti Aging Medicine Inc is located at 571 Avenue K SE, Winter Haven, FL 33880. The listed phone number is (407) 440-0708.

What is The Center For Functional Aesthetic And Anti Aging Medicine Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for The Center For Functional Aesthetic And Anti Aging Medicine Inc was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.