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NPI Code Detail

MEDICARE: BODY CARE MEDSPA LLC

MEDICARE: BODY CARE MEDSPA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1437947090
Entity Type Code : Organization
Provider Name (Legal Business Name) : BODY CARE MEDSPA LLC
Provider Business Mailing Address
First Line : 8776 THOUSAND PINES CIR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-1900
Country : US
Telephone Number : 561-662-4437
Fax Number : 561-422-4674
Provider Business Practice Location Address
First Line : 2311 10TH AVE N STE 8
Second Line :
City : LAKE WORTH
State : FL
Zip : 33461-6605
Country : US
Telephone Number : 561-662-4437
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MAYLEE PEREZ SOTO
Credential : APRN
Telephone Number : 561-662-4437
Provider Enumeration Date : 04/25/2025
Last Update Date : 04/07/2026

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Directions to “BODY CARE MEDSPA LLC ” Practice Location

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