Palm Harbor Dermatology Pa
LBN: Palm Harbor Dermatology Pa
Palm Harbor Dermatology Pa is an health care organization with primary practice located at 4197 Woodlands Pkwy , Palm Harbor FL 34685-3493. 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 / Dermatopathology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty.
Palm Harbor Dermatology Pa can be contacted via phone (727) 786-3810, or through Ross, Amy Simon via phone (813) 333-1512.
Contact Information
Primary practice address
4197 Woodlands Pkwy
Palm Harbor FL 34685-3493
Phone: (727) 786-3810
Fax: (727) 786-3855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X |
Profile Details
| NPI number | 1497927016 |
|---|---|
| LBN Legal business name | Palm Harbor Dermatology Pa |
| DBA Doing business as | |
| Authorized official | Ross, Amy Simon Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 25th, 2008 |
| Last updated | Jul 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497927016 | NPPES |
| Florida | Other | 000WR | FLORIDA BLUE |
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