Bruce Henry Paley in St Augustine - Dermatology
Bruce Henry Paley - NPI 1619993375
Bruce Henry Paley is a Dermatology in St Augustine, Florida. Bruce Henry Paley practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Bruce Henry Paley is 1619993375. The last update date is 2020-03-11.
Bruce Henry Paley's current location address is 1851 Old Moultrie Rd, St Augustine, Florida. You can contact this provider via phone number 9048248088 and fax number 9048264105. The mailing address for Bruce Henry Paley is 1851 Old Moultrie Rd, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Henry Paley |
|---|---|
| Address | 1851 Old Moultrie Rd, St Augustine, Florida |
| Phone Number | 9048248088 |
| Fax Number | 9048264105 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1619993375 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2020-03-11 |
Provider Mailing Address Detail
| Address | 1851 Old Moultrie Rd |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320844168 |
| Phone Number | 9048248088 |
| Fax Number | 9048264105 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | OS5622 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 593157956 | HUMANA | ||
| 709348001 | CIGNA | ||
| 80532 | FL | BLUE CROSS | |
| 898894 | FL | AETNA | |
| 317938300 | FL | -- | |
| 4394237 | AETNA | ||
| 24544400 | FL | -- | |
| 101894 | AVMED | ||
| 80532 | BLUE CROSS BLUE SHIELD | ||
| 593157956 | UNITED HEALTHCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bruce Henry Paley by the Centers for Medicare & Medicaid Services?
The Bruce Henry Paley has been issued the NPI (National Provider Identifier) 1619993375 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bruce Henry Paley's facilities are geographically located?
The facilities of Bruce Henry Paley are physically situated at the following location: 1851 Old Moultrie Rd, St Augustine, FL, 320844168.
What is the area of specialization for Bruce Henry Paley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce Henry Paley is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619993375 to Bruce Henry Paley?
The Centers for Medicare & Medicaid Services assigned the 1619993375 to Bruce Henry Paley on 2006-07-14.
As of what date were the Bruce Henry Paley's details last updated?
The information pertaining to the Bruce Henry Paley, including its address, specialty, and other details, was most recently updated on 2020-03-11.
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