Luminary Dermatology, Pa

LBN: Luminary Dermatology, Pa
Luminary Dermatology, Pa is an health care organization with primary practice located at 2101 61St St W , Bradenton FL 34209-5528. The organization recently has 10 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Luminary Dermatology, Pa can be contacted via phone (941) 926-6553, or through Phillips, Jessica Lynn via phone (941) 302-4669.

Contact Information

Primary practice address
2101 61St St W Bradenton FL 34209-5528
Phone: (941) 926-6553
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Jessica Lynn
Phone: (941) 302-4669

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1851955983
LBN Legal business name Luminary Dermatology, Pa
DBA Doing business as
Authorized official Phillips, Jessica Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2019
Last updated Oct 8th, 2020 - about 4 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 1851955983 NPPES
Florida Other B8XVQ FLORIDA BLUE

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