Atlantic Dermatology Llc
LBN: Atlantic Dermatology Llc
Atlantic Dermatology Llc is an health care organization with primary practice located at 1980 N Atlantic Ave Suite 722, Cocoa Beach FL 32931-5213. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Atlantic Dermatology Llc can be contacted via phone (321) 784-8811, or through Smallwood, Kristin Widick via phone (321) 784-8811.
Contact Information
Primary practice address
1980 N Atlantic Ave Suite 722
Cocoa Beach FL 32931-5213
Phone: (321) 784-8811
Fax: (321) 799-4424
Website:
Authorized official contact:
Name: Smallwood, Kristin Widick Doctor of Medicine (MD)
Phone: (321) 784-8811
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | ||
Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | ||
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
NPI number | 1306957378 |
---|---|
LBN Legal business name | Atlantic Dermatology Llc |
DBA Doing business as | |
Authorized official | Smallwood, Kristin Widick Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Aug 22nd, 2020 - 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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