Treasure Coast Dermatology

LBN: Tim Ioannides Md Llc
Treasure Coast Dermatology is an health care organization with primary practice located at 140 Sw Chamber Ct Suite 200, Port St Lucie FL 34986-3414. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Tim Ioannides Md Llc can be contacted via phone (772) 878-3376, or through Ioannides, Tim via phone (772) 878-3376.

Contact Information

Primary practice address
140 Sw Chamber Ct Suite 200 Port St Lucie FL 34986-3414
Phone: (772) 878-3376
Fax: (772) 879-9970
Website:
Map and Directions
Authorized official contact:
Name: Ioannides, Tim Doctor of Medicine (MD)
Phone: (772) 878-3376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1659339497
LBN Legal business name Tim Ioannides Md Llc
DBA Doing business as Treasure Coast Dermatology
Authorized official Ioannides, Tim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Dec 22nd, 2011 - about 13 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 1659339497 NPPES
Florida Other 74907 BCBS GROUP #
Florida Other DA2154 BCBS GROUP #

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