Florida Institute Of Dermatology Llc

LBN: Florida Institute Of Dermatology Llc
Florida Institute Of Dermatology Llc is an health care organization with primary practice located at 1503 Buenos Aires Blvd Ste 130 , The Villages FL 32159-6826. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Florida Institute Of Dermatology Llc can be contacted via phone (407) 395-3770, or through Wangia, Michael Waudo via phone (352) 594-1942.

Contact Information

Primary practice address
1503 Buenos Aires Blvd Ste 130 The Villages FL 32159-6826
Phone: (407) 395-3770
Fax: (407) 395-3779
Website:
Map and Directions
Authorized official contact:
Name: Wangia, Michael Waudo Doctor of Medicine (MD)
Phone: (352) 594-1942

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1952977621
LBN Legal business name Florida Institute Of Dermatology Llc
DBA Doing business as
Authorized official Wangia, Michael Waudo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2021
Last updated Jun 2nd, 2021 - about 3 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 1952977621 NPPES
Florida Other ME112379 MEDICAL LICENSE

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