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 865 Saxon Blvd , Orange City FL 32763-8204. The organization recently has only one registered license in Other Service Providers / Specialist, 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 Wheeler, Ross Charles via phone (407) 599-7546.

Contact Information

Primary practice address
865 Saxon Blvd Orange City FL 32763-8204
Phone: (386) 256-1969
Fax: (407) 599-7506
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, Ross Charles Doctor of Medicine (MD)
Phone: (407) 599-7546

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME73845 Florida

Profile Details

NPI number 1205270824
LBN Legal business name Skin Dermatology And Cosmetic Services, P.A.
DBA Doing business as
Authorized official Wheeler, Ross Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2013
Last updated Mar 22nd, 2021 - about 4 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 1205270824 NPPES
Florida MEDICAID 2608936

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