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

Glo Aesthetic & Laser Institute LLC

Organization Procedural Dermatology Physician · NPI 1013189075

Glo Aesthetic & Laser Institute LLC is a Procedural Dermatology Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

7100 W Camino Real Ste 206
Boca Raton, FL 33433-5510
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

Other providers in Boca Raton