Boca Grande Dermatology Pllc

LBN: Boca Grande Dermatology Pllc
Boca Grande Dermatology Pllc is an health care organization with primary practice located at 320 Park Avenue , Boca Grande FL 33921. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Boca Grande Dermatology Pllc can be contacted via phone (941) 964-0490, or through Corey, Timothy J via phone (941) 855-9372.

Contact Information

Primary practice address
320 Park Avenue Boca Grande FL 33921
Phone: (941) 964-0490
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Corey, Timothy J Doctor of Medicine (MD)
Phone: (941) 855-9372

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME116621 Florida

Profile Details

NPI number 1063836773
LBN Legal business name Boca Grande Dermatology Pllc
DBA Doing business as
Authorized official Corey, Timothy J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2014
Last updated Dec 9th, 2014 - about 10 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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