Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Glo Aesthetic & Laser Institute LLC

Organization Procedural Dermatology Physician · NPI 1013189075

Glo Aesthetic & Laser Institute LLC provides Procedural Dermatology Physician services in Boca Raton, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7100 W Camino Real Ste 206
Boca Raton, FL 33433-5510 Not confirmed with CMS for 17 years — call before visiting
Phone: (561) 704-4565
Fax: (561) 368-2264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence OS6841 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS6841 (FL)

Record details

NPI number1013189075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Danton — Medical Director · (561) 704-4565
Other names Boca Vip Dermatology & Laser Institute
NPI enumeratedMarch 31, 2008
Last updated in NPPESDecember 3, 2008
Mailing address7945 Palacio Del Mar Dr, Boca Raton, FL 33433-4149

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