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Contact Information

WATER'S EDGE DERMATOLOGY, LLC
600 VILLAGE SQUARE CROSSING
PALM BEACH GARDENS, FL33410
 Phone: 561-694-9493
 Fax: 561-694-9064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for WATER'S EDGE DERMATOLOGY, LLC

NPI # 1134148992
LBN Legal business name WATER'S EDGE DERMATOLOGY, LLC
Authorized official SUSAN DAVIS - (DIR. BILLING OPS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2006
Last updated 12/11/2015 - About 10 years ago
Identifiers
FL Other 38243 BCBS
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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