Winter Haven Dermatology Pa

LBN: Winter Haven Dermatology Pa
Winter Haven Dermatology Pa is an health care organization with primary practice located at 560 Avenue K Se , Winter Haven FL 33880-4203. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Winter Haven Dermatology Pa can be contacted via phone (863) 299-3376, or through Oliva, Stepan via phone (863) 299-3376.

Contact Information

Primary practice address
560 Avenue K Se Winter Haven FL 33880-4203
Phone: (863) 299-3376
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Oliva, Stepan Doctor of Medicine (MD)
Phone: (863) 299-3376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME75639 Florida

Profile Details

NPI number 1528278363
LBN Legal business name Winter Haven Dermatology Pa
DBA Doing business as
Authorized official Oliva, Stepan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated May 14th, 2008 - about 17 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 1528278363 NPPES
Florida Other DF8589 RAILROAD MEDICARE

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