Davis Dermatology, Pa

LBN: Davis Dermatology, Pa
Davis Dermatology, Pa is an health care organization with primary practice located at 504 S Orange St , New Smyrna Beach FL 32168-7319. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Davis Dermatology, Pa can be contacted via phone (386) 423-2218, or through Davis, Valerie via phone (386) 423-2218.

Contact Information

Primary practice address
504 S Orange St New Smyrna Beach FL 32168-7319
Phone: (386) 423-2218
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Valerie Doctor of Medicine (MD)
Phone: (386) 423-2218

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME51662 Florida

Profile Details

NPI number 1104330224
LBN Legal business name Davis Dermatology, Pa
DBA Doing business as
Authorized official Davis, Valerie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2017
Last updated Jun 16th, 2018 - about 6 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 1104330224 NPPES
Florida MEDICAID 047966700

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