Dermatologist Llc

LBN: Dermatologist Llc
Dermatologist Llc is an health care organization with primary practice located at 13638 W Hillsborough Ave , Tampa FL 33635-9638. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Dermatologist Llc can be contacted via phone (440) 804-5996, or through Demidova, Olga via phone (216) 280-1343.

Contact Information

Primary practice address
13638 W Hillsborough Ave Tampa FL 33635-9638
Phone: (440) 804-5996
Fax: (216) 758-4783
Website:
Map and Directions
Authorized official contact:
Name: Demidova, Olga Doctor of Osteopathy (DO)
Phone: (216) 280-1343

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1336899061
LBN Legal business name Dermatologist Llc
DBA Doing business as
Authorized official Demidova, Olga Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2022
Last updated Mar 25th, 2022 - about 2 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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