Countryside Dermatology And Laser Center Inc

LBN: Countryside Dermatology And Laser Center Inc
Countryside Dermatology And Laser Center Inc is an health care organization with primary practice located at 2467 Enterprise Rd Suite A, Clearwater FL 33763-1724. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Countryside Dermatology And Laser Center Inc can be contacted via phone (727) 791-1411, or through Roper, Susan S via phone (727) 791-1411.

Contact Information

Primary practice address
2467 Enterprise Rd Suite A Clearwater FL 33763-1724
Phone: (727) 791-1411
Fax: (727) 791-1419
Website:
Map and Directions
Authorized official contact:
Name: Roper, Susan S Doctor of Medicine (MD)
Phone: (727) 791-1411

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 46341 Florida

Profile Details

NPI number 1194914978
LBN Legal business name Countryside Dermatology And Laser Center Inc
DBA Doing business as
Authorized official Roper, Susan S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - about 18 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

Popular Providers