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Contact Information

NAPLES DERMATOLOGY PA
4085 TAMIAMI TR N
SUITE B203
NAPLES, FL34103
 Phone: 239-261-3082
 Fax: 239-261-1035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NAPLES DERMATOLOGY PA

NPI Number 1104006030
LBN Legal business name NAPLES DERMATOLOGY PA
Authorized official SCOTT ROSS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2007
Last updated 11/08/2007 - About 19 years ago
Identifiers
FL License # ME0053679
FL License # ME0057073
Other 10442 BLUE CROSS
Other 14961 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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