Clearwater Dermatology, P.A.

LBN: Clearwater Dermatology, P.A.
Clearwater Dermatology, P.A. is an health care organization with primary practice located at 1122 Druid Rd E , Clearwater FL 33756-4100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Clearwater Dermatology, P.A. can be contacted via phone (727) 461-2282, or through Golomb, Roger Steven via phone (727) 461-2282.

Contact Information

Primary practice address
1122 Druid Rd E Clearwater FL 33756-4100
Phone: (727) 461-2282
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Golomb, Roger Steven Doctor of Medicine (MD)
Phone: (727) 461-2282

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0021279 Florida

Profile Details

NPI number 1780659094
LBN Legal business name Clearwater Dermatology, P.A.
DBA Doing business as
Authorized official Golomb, Roger Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Dec 30th, 2013 - about 11 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 1780659094 NPPES
Florida Other 0004563725 AETNA PROV CLWR DERM
Florida Other 0300627 AETNA PROV CLWR DERM
Florida MEDICAID 250114700 AETNA PROV CLWR DERM

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