Organization · Type 2 NPI

Advanderm Clinical Medspa, LLC

Nurse Practitioner · Fort Lauderdale, FL

NPI number 1932029121 Active

Practice location

2890 Griffin Rd Ste 4
Fort Lauderdale, FL 33312-5669

Call (954) 399-9021 Map

Fax (954) 708-1435

Mailing address

1612 Salerno Cir
Weston, FL 33327-1904

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1932029121

Advanderm Clinical Medspa, LLC's National Provider Identifier is 1932029121, issued on Jul 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 17, 2026.