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NPI · 1104282714 · NPPES-sourced

Sanctuary Medical Aesthetic Center Of Boca Raton LLC

ActiveDermatology
NPI Number
1104282714
Type 2 · Organisation
Taxonomy Code
207N00000X
Contact
(561) 886-0970
Primary practice line
Last Updated
Enumerated
Primary practice addressFL · 33431-5188
4800 N Federal Hwy, Suite C100Boca Raton, FL 33431-5188
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About this NPIWhat this record shows.

NPI 1104282714 is registered to Sanctuary Medical Aesthetic Center Of Boca Raton LLC, a healthcare organisation classified as "Dermatology" and located at 4800 N Federal Hwy, Suite C100 in Boca Raton, Florida. The organisation's authorised official is Jeff Davis. The organisation has been enumerated in the NPI registry since 2016.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Sanctuary Medical Aesthetic Center Of Boca Raton LLC accepts. To confirm in-network status with your specific health plan, contact Sanctuary Medical Aesthetic Center Of Boca Raton LLC directly at (561) 886-0970.

Frequently asked

Yes. NPI 1104282714 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (561) 886-0970.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Sanctuary Medical Aesthetic Center Of Boca Raton LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207N00000X
Last updated
Enumerated
StatusActive
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