Brandon Dermatology P A in Brandon - Dermatology
Brandon Dermatology P A - NPI 1760504682
Brandon Dermatology P A is a Dermatology in Brandon, Florida. Brandon Dermatology P A practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Brandon Dermatology P A is 1760504682. The last update date is 2008-09-19.
Brandon Dermatology P A's current location address is 405 W Bloomingdale Ave, Brandon, Florida. You can contact this provider via phone number 8136623376 and fax number 8136623009. The mailing address for Brandon Dermatology P A is 405 W Bloomingdale Ave, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brandon Dermatology P A |
|---|---|
| Address | 405 W Bloomingdale Ave, Brandon, Florida |
| Phone Number | 8136623376 |
| Fax Number | 8136623009 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENTP |
|---|---|
| Authorized Official Name | Tobon Andres |
| Credentials | D.O. |
| Telephone Number | 8136623376 |
NPI Number Detail
| NPI Number | 1760504682 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2008-09-19 |
Provider Mailing Address Detail
| Address | 405 W Bloomingdale Ave |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335117401 |
| Phone Number | 8136623376 |
| Fax Number | 8136623009 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | OS7868 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AL785 | FL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brandon Dermatology P A by the Centers for Medicare & Medicaid Services?
The Brandon Dermatology P A has been assigned the NPI (National Provider Identifier) 1760504682 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brandon Dermatology P A's facilities are geographically located?
The facilities of Brandon Dermatology P A are physically situated at the following location: 405 W Bloomingdale Ave, Brandon, FL, 335117401.
What is Brandon Dermatology P A's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brandon Dermatology P A's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
When did Brandon Dermatology P A receive its 1760504682 assignment?
The Brandon Dermatology P A was assigned its 1760504682 on 2007-04-03, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Brandon Dermatology P A, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brandon Dermatology P A, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-09-19.
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