Bay Dermatology Associates Jerry L Hedrick Md Pa

LBN: Bay Dermatology Associates Jerry L Hedrick Md Pa
Bay Dermatology Associates Jerry L Hedrick Md Pa is an health care organization with primary practice located at 500 Vonderburg Drive Ste 115W, Brandon FL 33511-5969. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Bay Dermatology Associates Jerry L Hedrick Md Pa can be contacted via phone (813) 685-0306, or through Hedrick, Jerry Leo via phone (813) 685-0306.

Contact Information

Primary practice address
500 Vonderburg Drive Ste 115W Brandon FL 33511-5969
Fax: (813) 651-1026
Website:
Authorized official contact:
Name: Hedrick, Jerry Leo MD PA

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME38730 Florida

Profile Details

NPI number 1891728861
LBN Legal business name Bay Dermatology Associates Jerry L Hedrick Md Pa
DBA Doing business as
Authorized official Hedrick, Jerry Leo MD PA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 15th, 2010 - about 14 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 1891728861 NPPES
Florida Other 0667336 AETNA
Florida Other 30425 AETNA
Florida Other 070000215 AETNA

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