Dermagenesis Medspa, Inc. in Miramar - General Practice

Dermagenesis Medspa, Inc. - NPI 1366618522

Dermagenesis Medspa, Inc. is a General Practice in Miramar, Florida. Dermagenesis Medspa, Inc. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dermagenesis Medspa, Inc. is 1366618522. The last update date is 2011-03-19.

Dermagenesis Medspa, Inc.'s current location address is 2700 Sw 194th Ter, Miramar, Florida. You can contact this provider via phone number 3058203377 and fax number 3058203388. The mailing address for Dermagenesis Medspa, Inc. is 2700 Sw 194th Ter, Miramar, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dermagenesis Medspa, Inc.
Address 2700 Sw 194th Ter, Miramar, Florida
Phone Number 3058203377
Fax Number 3058203388
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Scheuermann Louis Alexander
Credentials D.O.
Telephone Number 3058203377

NPI Number Detail

NPI Number 1366618522
Provider Enumeration Date 2008-05-07
Last Updated Date 2011-03-19

Provider Mailing Address Detail

Address 2700 Sw 194th Ter
City Miramar
State Florida (FL)
Post Code 330292483
Phone Number 3058203377
Fax Number 3058203388

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No OS10159
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Dermagenesis Medspa, Inc.

What is the unique identifier code issued to Dermagenesis Medspa, Inc. by the Centers for Medicare & Medicaid Services (CMS)?

The Dermagenesis Medspa, Inc. has been assigned the NPI (National Provider Identifier) 1366618522. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Dermagenesis Medspa, Inc. is physically located?

The Dermagenesis Medspa, Inc. is physically situated at the following address: 2700 Sw 194Th Ter, Miramar, FL, 330292483.

What is Dermagenesis Medspa, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dermagenesis Medspa, Inc.'s specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1366618522 to Dermagenesis Medspa, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1366618522 to Dermagenesis Medspa, Inc. on 2008-05-07.

As of what date were the details pertaining to Dermagenesis Medspa, Inc. last refreshed?

The information related to the Dermagenesis Medspa, Inc., including its address, specialty, and other relevant details, was last updated on 2011-03-19.

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