Southeastern Dermatology Group Pa in Panama City - Dermatology
Southeastern Dermatology Group Pa - NPI 1518972231
Southeastern Dermatology Group Pa is a Dermatology in Panama City, Florida. Southeastern Dermatology Group Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Southeastern Dermatology Group Pa is 1518972231. The last update date is 2017-11-10.
Southeastern Dermatology Group Pa's current location address is 2505 Harrison Ave, Panama City, Florida. You can contact this provider via phone number 8502333376 and fax number 8505228354. The mailing address for Southeastern Dermatology Group Pa is 2505 Harrison Ave, Panama City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Dermatology Group Pa |
|---|---|
| Address | 2505 Harrison Ave, Panama City, Florida |
| Phone Number | 8502333376 |
| Fax Number | 8505228354 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ward Jon |
| Credentials | MD |
| Telephone Number | 8502333376 |
NPI Number Detail
| NPI Number | 1518972231 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2017-11-10 |
Provider Mailing Address Detail
| Address | 2505 Harrison Ave |
|---|---|
| City | Panama City |
| State | Florida (FL) |
| Post Code | 324054423 |
| Phone Number | 8502333376 |
| Fax Number | 8505228354 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 95816 |
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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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What is the Southeastern Dermatology Group Pa's unique identification number?
The Southeastern Dermatology Group Pa has been assigned the NPI (National Provider Identifier) Number 1518972231 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Southeastern Dermatology Group Pa located?
The Southeastern Dermatology Group Pa is located at 2505 Harrison Ave, Panama City, FL 324054423.
What is the area of specialization for Southeastern Dermatology Group Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southeastern Dermatology Group Pa is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
When did Southeastern Dermatology Group Pa receive its 1518972231 assignment?
The Southeastern Dermatology Group Pa was assigned its 1518972231 on 2006-07-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Southeastern Dermatology Group Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Southeastern Dermatology Group Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-11-10.