Provider Demographics
NPI:1437947090
Name:BODY CARE MEDSPA LLC
Entity type:Organization
Organization Name:BODY CARE MEDSPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAYLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:561-662-4437
Mailing Address - Street 1:8776 THOUSAND PINES CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1900
Mailing Address - Country:US
Mailing Address - Phone:561-662-4437
Mailing Address - Fax:
Practice Address - Street 1:2311 10TH AVE N STE 8
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6605
Practice Address - Country:US
Practice Address - Phone:561-662-4437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty