Associated Dermatologist Pa

LBN: Associated Dermatologist Pa
Associated Dermatologist Pa is an health care organization with primary practice located at 155 N Nova Rd , Ormond Beach FL 32174-5138. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Associated Dermatologist Pa can be contacted via phone (386) 672-3111, or through Long, John C via phone (386) 672-3111.

Contact Information

Primary practice address
155 N Nova Rd Ormond Beach FL 32174-5138
Phone: (386) 672-3111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Long, John C Doctor of Medicine (MD)
Phone: (386) 672-3111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME68137 Florida

Profile Details

NPI number 1861687071
LBN Legal business name Associated Dermatologist Pa
DBA Doing business as
Authorized official Long, John C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2007
Last updated Sep 25th, 2007 - about 17 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 1861687071 NPPES
Other N6001 MEDICARE
Other K0008 MEDICARE

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