Proctor Dermatology & Skin Surgery Pa in South Pasadena - Dermatology
Proctor Dermatology & Skin Surgery Pa - NPI 1780871491
Proctor Dermatology & Skin Surgery Pa is a Dermatology in South Pasadena, Florida. Proctor Dermatology & Skin Surgery Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Proctor Dermatology & Skin Surgery Pa is 1780871491. The last update date is 2008-02-21.
Proctor Dermatology & Skin Surgery Pa's current location address is 1609 Pasadena Ave S, South Pasadena, Florida. You can contact this provider via phone number 7273458050 and fax number 7273454344. The mailing address for Proctor Dermatology & Skin Surgery Pa is 1609 Pasadena Ave S, South Pasadena, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Proctor Dermatology & Skin Surgery Pa |
|---|---|
| Address | 1609 Pasadena Ave S, South Pasadena, Florida |
| Phone Number | 7273458050 |
| Fax Number | 7273454344 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Proctor Scott Michael |
| Credentials | MD |
| Telephone Number | 7273458050 |
NPI Number Detail
| NPI Number | 1780871491 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2008-02-21 |
Provider Mailing Address Detail
| Address | 1609 Pasadena Ave S |
|---|---|
| City | South Pasadena |
| State | Florida (FL) |
| Post Code | 337074565 |
| Phone Number | 7273458050 |
| Fax Number | 7273454344 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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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 unique 10-digit identification code assigned to Proctor Dermatology & Skin Surgery Pa by the Centers for Medicare & Medicaid Services?
The Proctor Dermatology & Skin Surgery Pa has been issued the NPI (National Provider Identifier) 1780871491, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Proctor Dermatology & Skin Surgery Pa is physically located?
The Proctor Dermatology & Skin Surgery Pa is situated at the following address: 1609 Pasadena Ave S, South Pasadena, FL 337074565.
What is the Proctor Dermatology & Skin Surgery Pa's area of specialization and corresponding taxonomy classification?
The Proctor Dermatology & Skin Surgery Pa's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780871491 to Proctor Dermatology & Skin Surgery Pa?
The Centers for Medicare & Medicaid Services originally issued the 1780871491 to Proctor Dermatology & Skin Surgery Pa on 2007-09-26.
As of what date were the Proctor Dermatology & Skin Surgery Pa's details last updated?
The information pertaining to the Proctor Dermatology & Skin Surgery Pa, including its address, specialty, and other details, was most recently updated on 2008-02-21.