Sanctuary Medical Aesthetic Center of Boca Raton LLC

NPI #1104282714 in Boca Raton, Florida

Provider Information

NPI Number: 1104282714
Entity Type: Organization
Organization Name: Sanctuary Medical Aesthetic Center of Boca Raton LLC
Primary Specialty: Dermatology
Enumeration Date: Jan 12, 2016
Last Updated: May 20, 2016

Practice Location

Address: 4800 N FEDERAL HWY
Address 2: SUITE C100
City: Boca Raton
State: Florida
ZIP Code: 33431-5188
Phone: (561) 886-0970

Authorized Official

Name: JEFF DAVIS
Title: CEO
Phone: (561) 430-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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