Dynamic Anti-Aging MD CORP – Health & Wellness Coach, NPI 1104586973

Dynamic Anti-Aging MD CORP is a healthcare provider. based in Miami, Florida. specializing in Health & Wellness Coach. The NPI Number for Dynamic Anti-Aging MD CORP is 1104586973

Main info

Organization
Name
Dynamic Anti-Aging MD CORP
NPI
1104586973
Phone
(786) 803-8843
Address
217 SE 1ST ST
Authorized Official
MR. KONSTANTINOS PAPADOPPOULOS OWNER
Enumeration Date
21 December 2021
Last Update Date
21 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness80
Years active:4State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Dynamic Anti-Aging MD CORP

  • 217 SE 1ST ST

    MIAMI, FL 331311901

    Phone: (786) 803-8843

    Fax: (786) 803-8876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33131)

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Frequently asked questions

Where can patients find Dynamic Anti-Aging MD CORP's NPI?
You can confirm Dynamic Anti-Aging MD CORP with NPI 1104586973; it appears in the national provider directory.
Is Dynamic Anti-Aging MD CORP's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does Dynamic Anti-Aging MD CORP treat or focus on?
Patients typically see Dynamic Anti-Aging MD CORP under the specialty Health & Wellness Coach. Clinical services aligned with this taxonomy classification.
What location shows for Dynamic Anti-Aging MD CORP?
We surface Miami, Florida for Dynamic Anti-Aging MD CORP based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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