Brandon Dermatology P A

LBN: Brandon Dermatology P A
Brandon Dermatology P A is an health care organization with primary practice located at 405 W Bloomingdale Ave , Brandon FL 33511-7401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Brandon Dermatology P A can be contacted via phone (813) 662-3376, or through Tobon, Andres via phone (813) 662-3376.

Contact Information

Primary practice address
405 W Bloomingdale Ave Brandon FL 33511-7401
Phone: (813) 662-3376
Fax: (813) 662-3009
Website:
Map and Directions
Authorized official contact:
Name: Tobon, Andres Doctor of Osteopathy (DO)
Phone: (813) 662-3376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS7868 Florida

Profile Details

NPI number 1760504682
LBN Legal business name Brandon Dermatology P A
DBA Doing business as
Authorized official Tobon, Andres Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Sep 19th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760504682 NPPES
Florida Other AL785 MEDICARE PTAN

Popular Providers