Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elite Dermatology and Aesthetic Institute, LLC

Organization Family Medicine Physician · NPI 1154735819

Elite Dermatology and Aesthetic Institute, LLC is a Family Medicine Physician in Boca Raton, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
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

1905 Clint Moore Rd Ste 203
Boca Raton, FL 33496-2658
Phone: (561) 826-6650
Fax: (561) 826-6649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS1629 (FL)

Record details

NPI number1154735819
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fawn Winkelman — President · (561) 826-6650
Other names Elite Medicine And Aesthetic Institute
NPI enumeratedJune 20, 2014
Last updated in NPPESNovember 19, 2015
Mailing address1905 Clint Moore Rd, Suite 203, Boca Raton, FL 33496-2658

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