Sanctuary Medical Aesthetic Center of Boca Raton LLC
NPI 1104282714 · Dermatology Physician · Boca Raton, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanctuary Medical Aesthetic Center of Boca Raton LLC is a Dermatology Physician organization in Boca Raton, FL (NPI 1104282714).
Provider details
- NPI number
- 1104282714
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeff Davis, Ceo(561) 430-6644
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-01-12
- Last updated
- 2016-05-20
Frequently asked questions
- What is Sanctuary Medical Aesthetic Center of Boca Raton LLC's NPI number?
- Sanctuary Medical Aesthetic Center of Boca Raton LLC's National Provider Identifier (NPI) is 1104282714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sanctuary Medical Aesthetic Center of Boca Raton LLC?
- Sanctuary Medical Aesthetic Center of Boca Raton LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Sanctuary Medical Aesthetic Center of Boca Raton LLC located?
- Sanctuary Medical Aesthetic Center of Boca Raton LLC's practice location on file with NPPES is 4800 N Federal Hwy, Boca Raton, FL 33431-5188.
- What is Sanctuary Medical Aesthetic Center of Boca Raton LLC's phone number?
- The practice phone number listed in the NPPES registry for Sanctuary Medical Aesthetic Center of Boca Raton LLC is (561) 886-0970.
- Does Sanctuary Medical Aesthetic Center of Boca Raton LLC accept Medicare?
- Sanctuary Medical Aesthetic Center of Boca Raton LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sanctuary Medical Aesthetic Center of Boca Raton LLC?
- The authorized official listed on Sanctuary Medical Aesthetic Center of Boca Raton LLC's NPPES record is Jeff Davis, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sanctuary Medical Aesthetic Center of Boca Raton LLC's NPI active?
- Yes — Sanctuary Medical Aesthetic Center of Boca Raton LLC's NPI (1104282714) is active in the NPPES registry as of the last update on 2016-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.