Skin Dermatology And Cosmetic Services, P.A.

LBN: Skin Dermatology And Cosmetic Services, P.A.
Skin Dermatology And Cosmetic Services, P.A. is an health care organization with primary practice located at 84 Pinnacles Dr Ste 400 , Palm Coast FL 32164-2324. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Skin Dermatology And Cosmetic Services, P.A. can be contacted via phone (386) 256-1969, or through Frame, Shawna via phone (423) 525-5993.

Contact Information

Primary practice address
84 Pinnacles Dr Ste 400 Palm Coast FL 32164-2324
Fax: (407) 599-7506
Website:
Authorized official contact:
Name: Frame, Shawna

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1003582123
LBN Legal business name Skin Dermatology And Cosmetic Services, P.A.
DBA Doing business as
Authorized official Frame, Shawna
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2021
Last updated Aug 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003582123 NPPES
Florida MEDICAID 009563608

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