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

Sanctuary Medical Aesthetic Center of Boca Raton LLC

Organization Dermatology Physician · NPI 1104282714

Sanctuary Medical Aesthetic Center of Boca Raton LLC provides Dermatology Physician services in Boca Raton, Florida. Registered with an NPI since 2016.

In the registry since
2016
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

4800 N Federal Hwy Ste C100
Boca Raton, FL 33431-5188 Not confirmed with CMS for 10 years — call before visiting
Phone: (561) 886-0970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1104282714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Davis — Ceo · (561) 430-6644
NPI enumeratedJanuary 12, 2016
Last updated in NPPESMay 20, 2016
Mailing address4800 N Federal Hwy, Suite C100, Boca Raton, FL 33431-5188

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