Robert J. Van Der Leest Md, Inc.

LBN: Robert J. Van Der Leest Md, Inc.
Robert J. Van Der Leest Md, Inc. is an health care organization with primary practice located at 800 E Broward Blvd Suite 507, Fort Lauderdale FL 33301-2008. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Robert J. Van Der Leest Md, Inc. can be contacted via phone (954) 736-4331, or through Vanderleest, Robert via phone (650) 324-9135.

Contact Information

Primary practice address
800 E Broward Blvd Suite 507 Fort Lauderdale FL 33301-2008
Phone: (954) 736-4331
Fax: (954) 763-4775
Website:
Map and Directions
Authorized official contact:
Name: Vanderleest, Robert Doctor of Medicine (MD)
Phone: (650) 324-9135

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1215359872
LBN Legal business name Robert J. Van Der Leest Md, Inc.
DBA Doing business as
Authorized official Vanderleest, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2014
Last updated Jan 16th, 2014 - about 10 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 1215359872 NPPES
California Other 1639254394 NPPES

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