Divine Dermatology And Surgical Institute, Pllc

LBN: Divine Dermatology And Surgical Institute, Pllc
Divine Dermatology And Surgical Institute, Pllc is an health care organization with primary practice located at 1260 Doctors Ln , Fort Collins CO 80524-4038. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Divine Dermatology And Surgical Institute, Pllc can be contacted via phone (813) 765-8453, or through Divine, Jennifer via phone (813) 765-8453.

Contact Information

Primary practice address
1260 Doctors Ln Fort Collins CO 80524-4038
Phone: (813) 765-8453
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Divine, Jennifer Doctor of Medicine (MD)
Phone: (813) 765-8453

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X DR.0058205 Colorado

Profile Details

NPI number 1215460290
LBN Legal business name Divine Dermatology And Surgical Institute, Pllc
DBA Doing business as
Authorized official Divine, Jennifer Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2017
Last updated Apr 6th, 2017 - about 7 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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