Organization · Type 2 NPI

Glo Aesthetic & Laser Institute LLC

Procedural Dermatology Physician · Boca Raton, FL

NPI number 1013189075 Active

Practice location

7100 W Camino Real, Suite 206
Boca Raton, FL 33433-5510

Fax (561) 368-2264

Mailing address

7945 Palacio Del Mar Dr
Boca Raton, FL 33433-4149

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135XOS6841 (FL)
Family Medicine Physician 207Q00000XOS6841 (FL)

Procedural Dermatology Physician: 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 t…

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About NPI 1013189075

Glo Aesthetic & Laser Institute LLC's National Provider Identifier is 1013189075, issued on Mar 31, 2008. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Boca Raton, FL. The record was last updated on Dec 3, 2008.