Kip C Cullimore in Fort Myers - Procedural Dermatology

Kip C Cullimore - NPI 1831150507

Kip C Cullimore is a Procedural Dermatology in Fort Myers, Florida. Kip C Cullimore practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Kip C Cullimore is 1831150507. The last update date is 2013-12-26.

Kip C Cullimore's current location address is 8381 Riverwalk Park Blvd, Fort Myers, Florida. You can contact this provider via phone number 2399365425 and fax number 2399365176. The mailing address for Kip C Cullimore is 8381 Riverwalk Park Blvd, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kip C Cullimore
Address 8381 Riverwalk Park Blvd, Fort Myers, Florida
Phone Number 2399365425
Fax Number 2399365176
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1831150507
Provider Enumeration Date 2006-03-31
Last Updated Date 2013-12-26

Provider Mailing Address Detail

Address 8381 Riverwalk Park Blvd
City Fort Myers
State Florida (FL)
Post Code 339198760
Phone Number 2399365425
Fax Number 2399365176

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No ME0071841
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5762385 FL AETNA
70009505 FL RR MEDICARE
32504 FL BC BS OF FLA
5361863002 FL CIGNA

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FAQs about Kip C Cullimore

What is the unique identifier code issued to Kip C Cullimore by the Centers for Medicare & Medicaid Services?

The Kip C Cullimore has been assigned the NPI (National Provider Identifier) 1831150507. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kip C Cullimore's facilities are geographically located?

The facilities of Kip C Cullimore are physically situated at the following location: 8381 Riverwalk Park Blvd, Fort Myers, FL, 339198760.

What is the Kip C Cullimore's area of specialization and corresponding taxonomy classification?

The Kip C Cullimore's specialty field is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their specialties.

When did Kip C Cullimore receive its 1831150507 assignment?

The Kip C Cullimore was assigned its 1831150507 on 2006-03-31, which is the date when this unique identifier was issued to the organization.

When was the information regarding Kip C Cullimore most recently updated?

The details pertaining to the Kip C Cullimore, including its address, specialty, and other relevant information, were last refreshed on 2013-12-26.

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