OrganizationActive
Dynamic Anti-Aging MD Corp
NPI 1104586973 · Health & Wellness Coach · Miami, FL
Dynamic Anti-Aging MD Corp is a Health & Wellness Coach organization in Miami, FL (NPI 1104586973).
Provider details
- NPI number
- 1104586973
- Entity type
- Organization
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Organization subpart
- No
- Authorized official
- Konstantinos Papadoppoulos, Owner(786) 803-8843
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
217 Se 1st St
Miami, FL 33131-1901
Phone: (786) 803-8843
Fax: (786) 803-8876
Street-level locationGet directions
Mailing address
217 Se 1st St
Miami, FL 33131-1901
Other names (DBA / former)
- Doing business as
- Dynamic Anti-Aging MD Corp
Registry dates
- Enumerated
- 2021-12-21
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Frequently asked questions
- What is Dynamic Anti-Aging MD Corp's NPI number?
- Dynamic Anti-Aging MD Corp's National Provider Identifier (NPI) is 1104586973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dynamic Anti-Aging MD Corp?
- Dynamic Anti-Aging MD Corp is classified in the NPPES registry as Health & Wellness Coach (Other Service Providers).
- Where is Dynamic Anti-Aging MD Corp located?
- Dynamic Anti-Aging MD Corp's practice location on file with NPPES is 217 Se 1st St, Miami, FL 33131-1901.
- What is Dynamic Anti-Aging MD Corp's phone number?
- The practice phone number listed in the NPPES registry for Dynamic Anti-Aging MD Corp is (786) 803-8843.
- Who is the authorized official for Dynamic Anti-Aging MD Corp?
- The authorized official listed on Dynamic Anti-Aging MD Corp's NPPES record is Konstantinos Papadoppoulos, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dynamic Anti-Aging MD Corp's NPI active?
- Yes — Dynamic Anti-Aging MD Corp's NPI (1104586973) is active in the NPPES registry as of the last update on 2021-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.