Dermatology Clinic, Pa in Boca Raton - Specialist
Dermatology Clinic, Pa - NPI 1295890853
Dermatology Clinic, Pa is a Specialist in Boca Raton, Florida. Dermatology Clinic, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology Clinic, Pa is 1295890853. The last update date is 2010-11-23.
Dermatology Clinic, Pa's current location address is 880 Nw 13th St, Boca Raton, Florida. You can contact this provider via phone number 5613930300 and fax number 5613930048. The mailing address for Dermatology Clinic, Pa is 880 Nw 13th St, Boca Raton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Clinic, Pa |
|---|---|
| Address | 880 Nw 13th St, Boca Raton, Florida |
| Phone Number | 5613930300 |
| Fax Number | 5613930048 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Calobrisi D Stella |
| Credentials | M.D. |
| Telephone Number | 5613930300 |
NPI Number Detail
| NPI Number | 1295890853 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2010-11-23 |
Provider Mailing Address Detail
| Address | 880 Nw 13th St |
|---|---|
| City | Boca Raton |
| State | Florida (FL) |
| Post Code | 334862342 |
| Phone Number | 5613930300 |
| Fax Number | 5613930048 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 78997 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1891717898 | FL | NPI INDIVIDUAL NUMBER | |
| 49480 | FL | FL BLUE SHIELD NUMBER | |
| 115370 | PA | BLUE SHIELD PENN NUMBER | |
| 49480Z | FL | MEDICARE INDIVIDUAL | |
| 78997 | FL | FLORIDA LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dermatology Clinic, Pa?
The Dermatology Clinic, Pa has been issued the NPI (National Provider Identifier) 1295890853 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dermatology Clinic, Pa's facilities are geographically located?
The facilities of Dermatology Clinic, Pa are physically situated at the following location: 880 Nw 13Th St, Boca Raton, FL, 334862342.
What is the Dermatology Clinic, Pa's specialty and taxonomy code?
The Dermatology Clinic, Pa's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Dermatology Clinic, Pa receive its 1295890853 assignment?
The Dermatology Clinic, Pa was assigned its 1295890853 on 2006-12-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Dermatology Clinic, Pa most recently updated?
The details pertaining to the Dermatology Clinic, Pa, including its address, specialty, and other relevant information, were last refreshed on 2010-11-23.
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