Clearwater Dermatology, P.A. in Clearwater - Dermatology
Clearwater Dermatology, P.A. - NPI 1780659094
Clearwater Dermatology, P.A. is a Dermatology in Clearwater, Florida. Clearwater Dermatology, P.A. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Clearwater Dermatology, P.A. is 1780659094. The last update date is 2013-12-30.
Clearwater Dermatology, P.A.'s current location address is 1122 Druid Rd E, Clearwater, Florida. You can contact this provider via phone number 7274612282. The mailing address for Clearwater Dermatology, P.A. is 1122 Druid Rd E, Clearwater, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Clearwater Dermatology, P.A. |
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Address | 1122 Druid Rd E, Clearwater, Florida |
Phone Number | 7274612282 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Golomb Steven Roger |
Credentials | MD |
Telephone Number | 7274612282 |
NPI Number Detail
NPI Number | 1780659094 |
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Provider Enumeration Date | 2006-02-21 |
Last Updated Date | 2013-12-30 |
Provider Mailing Address Detail
Address | 1122 Druid Rd E |
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City | Clearwater |
State | Florida (FL) |
Post Code | 337564100 |
Phone Number | 7274612282 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | ME0021279 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4563725 | FL | AETNA PROV CLWR DERM | |
300627 | FL | UHC GROUP # CLWR DERM | |
250114700 | FL | -- |
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What is the Clearwater Dermatology, P.A.'s unique identification number?
The Clearwater Dermatology, P.A. has been assigned the NPI (National Provider Identifier) Number 1780659094 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Clearwater Dermatology, P.A. is located?
The Clearwater Dermatology, P.A. is situated at the following address: 1122 Druid Rd E, Clearwater, FL, 337564100.
What is Clearwater Dermatology, P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clearwater Dermatology, P.A. is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date was the 1780659094 assigned to Clearwater Dermatology, P.A.?
The Clearwater Dermatology, P.A. was issued its 1780659094 on 2006-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Clearwater Dermatology, P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Clearwater Dermatology, P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-12-30.