Bellavista Dermatology

LBN: Bellavista Dermatology Group Llc
Bellavista Dermatology is an health care organization with primary practice located at 3636 University Blvd S Unit B2, Jacksonville FL 32216. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, 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. Bellavista Dermatology Group Llc can be contacted via phone (904) 297-1415, or through Martinez, Rigel via phone (904) 297-1415.

Contact Information

Primary practice address
3636 University Blvd S Unit B2 Jacksonville FL 32216
Phone: (904) 297-1415
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Rigel
Phone: (904) 297-1415

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1801379409
LBN Legal business name Bellavista Dermatology Group Llc
DBA Doing business as Bellavista Dermatology
Authorized official Martinez, Rigel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2018
Last updated Sep 10th, 2018 - about 7 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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