Professional Dermatology Associates

LBN: Professional Dermatology Associates
Professional Dermatology Associates is an health care organization with primary practice located at 217 E Central Ave , Winter Haven FL 33880-6312. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Professional Dermatology Associates can be contacted via phone (315) 363-7407, or through Knisley, Raymond R via phone (940) 867-6030.

Contact Information

Primary practice address
217 E Central Ave Winter Haven FL 33880-6312
Phone: (315) 363-7407
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Knisley, Raymond R Doctor of Osteopathy (DO)
Phone: (940) 867-6030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1932978988
LBN Legal business name Professional Dermatology Associates
DBA Doing business as
Authorized official Knisley, Raymond R Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 1st, 2024
Last updated Jan 1st, 2024 - about last year

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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