institution
Dermatology Clinic, Pa
Specialist in Boca Raton, Florida
NPI 1295890853

Dermatology Clinic, Pa is a Specialist based in Boca Raton, FL. Dermatology Clinic, Pa practices in Boca Raton, FL. The NPI Number for Dermatology Clinic, Pa is 1295890853 and holds a License No. 78997 (Florida).

The current practice location address for Dermatology Clinic, Pa is 880 Nw 13Th St, Boca Raton, FL and can be reached out via phone at 561-393-0300 and via fax at 561-393-0048.

Location: 880 Nw 13Th St, Boca Raton, FL, 33486-2342
institution
Provider Profile Details
NPI Number
1295890853
Provider Name
Dermatology Clinic, Pa
Credential
Provider Entity Type
Organization
Address
880 Nw 13Th St, Boca Raton, FL, 33486-2342
Phone Number
561-393-0300
Fax Number
561-393-0048
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891717898 01 FL NPI INDIVIDUAL NUMBER
49480 01 FL FL BLUE SHIELD NUMBER
115370 01 PA BLUE SHIELD PENN NUMBER
49480Z 01 FL MEDICARE INDIVIDUAL
78997 01 FL FLORIDA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
880 Nw 13Th St
City
State
Zip
33486-2342
Phone Number
561-393-0300
Fax Number
561-393-0048
person
Provider Business Mailing Address Details
Address
880 Nw 13Th St
City
State
Zip
33486-2342
Phone Number
561-393-0300
Fax Number
561-393-0048
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
78997 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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