Fuller Dermatology Llc

LBN: Fuller Dermatology Llc
Fuller Dermatology Llc is an health care organization with primary practice located at 1609 Pasadena Ave S Ste 4C , South Pasadena FL 33707. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Fuller Dermatology Llc can be contacted via phone (727) 347-7524, or through Fuller, Bruce W. via phone (727) 347-7524.

Contact Information

Primary practice address
1609 Pasadena Ave S Ste 4C South Pasadena FL 33707
Phone: (727) 347-7524
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Bruce W. Doctor of Medicine (MD)
Phone: (727) 347-7524

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X ME99153 Florida

Profile Details

NPI number 1083159529
LBN Legal business name Fuller Dermatology Llc
DBA Doing business as
Authorized official Fuller, Bruce W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2016
Last updated Aug 29th, 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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