Countryside Dermatology And Laser Center Inc in Clearwater - Dermatology
Countryside Dermatology And Laser Center Inc - NPI 1194914978
Countryside Dermatology And Laser Center Inc is a Dermatology in Clearwater, Florida. Countryside Dermatology And Laser Center Inc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Countryside Dermatology And Laser Center Inc is 1194914978. The last update date is 2007-10-17.
Countryside Dermatology And Laser Center Inc's current location address is 2467 Enterprise Rd, Clearwater, Florida. You can contact this provider via phone number 7277911411 and fax number 7277911419. The mailing address for Countryside Dermatology And Laser Center Inc is 2467 Enterprise Rd, Clearwater, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Countryside Dermatology And Laser Center Inc |
|---|---|
| Address | 2467 Enterprise Rd, Clearwater, Florida |
| Phone Number | 7277911411 |
| Fax Number | 7277911419 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Roper S Susan |
| Credentials | M.D. |
| Telephone Number | 7277911411 |
NPI Number Detail
| NPI Number | 1194914978 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 2467 Enterprise Rd |
|---|---|
| City | Clearwater |
| State | Florida (FL) |
| Post Code | 337631724 |
| Phone Number | 7277911411 |
| Fax Number | 7277911419 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 46341 |
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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 provider identifier assigned to Countryside Dermatology And Laser Center Inc?
The Countryside Dermatology And Laser Center Inc has been issued the NPI (National Provider Identifier) 1194914978 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Countryside Dermatology And Laser Center Inc?
The Countryside Dermatology And Laser Center Inc is situated at 2467 Enterprise Rd, in the city of Clearwater, state of FL, with the zip code 337631724.
What is Countryside Dermatology And Laser Center Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Countryside Dermatology And Laser Center Inc is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date did Countryside Dermatology And Laser Center Inc receive its 1194914978 assignment from the Centers for Medicare & Medicaid Services?
The Countryside Dermatology And Laser Center Inc was assigned its 1194914978 on 2007-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Countryside Dermatology And Laser Center Inc most recently updated or revised?
The information pertaining to Countryside Dermatology And Laser Center Inc, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-17.
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