Orlando Dermatology Clinic Llc

LBN: Orlando Dermatology Clinic Llc
Orlando Dermatology Clinic Llc is an health care organization with primary practice located at 2970 Loopdale Ln , Kissimmee FL 34741-7658. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Orlando Dermatology Clinic Llc can be contacted via phone (352) 218-3211, or through Shaath, Tarek S via phone (785) 760-6740.

Contact Information

Primary practice address
2970 Loopdale Ln Kissimmee FL 34741-7658
Phone: (352) 218-3211
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shaath, Tarek S
Phone: (785) 760-6740

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1609467109
LBN Legal business name Orlando Dermatology Clinic Llc
DBA Doing business as
Authorized official Shaath, Tarek S
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2021
Last updated Nov 3rd, 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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