Adult And Pediatric Dermatology Practitioners P A

LBN: Adult And Pediatric Dermatology Practitioners P A
Adult And Pediatric Dermatology Practitioners P A is an health care organization with primary practice located at 715 W Boynton Beach Blvd Suite C, Boynton Beach FL 33426-3625. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Adult And Pediatric Dermatology Practitioners P A can be contacted via phone (561) 364-2626, or through Masessa, Jeffrey T. via phone (973) 625-0600.

Contact Information

Primary practice address
715 W Boynton Beach Blvd Suite C Boynton Beach FL 33426-3625
Phone: (561) 364-2626
Fax: (561) 364-2029
Website:
Map and Directions
Authorized official contact:
Name: Masessa, Jeffrey T.
Phone: (973) 625-0600

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Florida

Profile Details

NPI number 1487613907
LBN Legal business name Adult And Pediatric Dermatology Practitioners P A
DBA Doing business as
Authorized official Masessa, Jeffrey T.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 27th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487613907 NPPES
Florida Other MA851 MEDICARE

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