OrganizationActive
Total Body Aesthetics, Inc.
NPI 1336454263 · Specialist · Jacksonville, FL
Provider details
- NPI number
- 1336454263
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Stephanie Humphries, Owner/President(904) 472-5563
- License
- FB9712840 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
4540 Southside Blvd
Suite 701
Jacksonville, FL 32216-5492
Phone: (904) 472-5563
Fax: (904) 435-4051
Street-level locationGet directions
Mailing address
4540 Southside Blvd
Jacksonville, FL 32216-5492
Other names (DBA / former)
- Doing business as
- Total Body Health & Wellness
Registry dates
- Enumerated
- 2010-08-16
- Last updated
- 2010-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.