BOCA VIP DERMATOLOGY & LASER INSTITUTE – NPI #1013189075
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

BOCA VIP DERMATOLOGY & LASER INSTITUTE is a dermatologist located in BOCA RATON, FL. NPPES has assigned the NPI number 1013189075 to BOCA VIP DERMATOLOGY & LASER INSTITUTE on March 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOCA VIP DERMATOLOGY & LASER INSTITUTE” is a dba name, the actual legal business name for this organization is GLO AESTHETIC & LASER INSTITUTE LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 18 years ago on Dec 03, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOCA VIP DERMATOLOGY & LASER INSTITUTE below.

NPI Profile for
GLO AESTHETIC & LASER INSTITUTE LLC

NPI Number
1013189075
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GLO AESTHETIC & LASER INSTITUTE LLC
Doing Business As (dba): BOCA VIP DERMATOLOGY & LASER INSTITUTE
Primary location
7100 W CAMINO REAL
SUITE 206
BOCA RATON, FL 33433-5510
Phone: (561) 704-4565 Fax: (561) 368-2264
Mailing address
7945 PALACIO DEL MAR DR
BOCA RATON, FL 33433-4149
Phone: (561) 704-4565 Fax: (561) 368-2264
Organization Subpart
No
Authorized Official
JACK DANTON
MEDICAL DIRECTOR
Phone: (561) 704-4565
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NS0135X
- Dermatology / Procedural Dermatology (Primary)
FL OS6841
207Q00000X
- Family Medicine
FL OS6841

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.