Southeastern Dermatology, Pa

LBN: Southeastern Dermatology, Pa
Southeastern Dermatology, Pa is an health care organization with primary practice located at 2040 Fleischmann Rd , Tallahassee FL 32308-4599. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southeastern Dermatology, Pa can be contacted via phone (850) 422-3376, or through Ford, Michael J via phone (850) 422-3376.

Contact Information

Primary practice address
2040 Fleischmann Rd Tallahassee FL 32308-4599
Phone: (850) 422-3376
Fax: (850) 205-7182
Website:
Map and Directions
Authorized official contact:
Name: Ford, Michael J Doctor of Medicine (MD)
Phone: (850) 422-3376

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1841229036
LBN Legal business name Southeastern Dermatology, Pa
DBA Doing business as
Authorized official Ford, Michael J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Jun 14th, 2016 - about 8 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 1841229036 NPPES
Florida MEDICAID 000595501
Florida Other 10D0992605

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