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Contact Information

CITRUS PARK DERMATOLOGY, PA
6540 GUNN HWY
TAMPA, FL33625-4022
 Phone: 813-269-4122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for CITRUS PARK DERMATOLOGY, PA

NPI # 1174703318
LBN Legal business name CITRUS PARK DERMATOLOGY, PA
Authorized official KIMBERLY SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2007
Last updated 11/05/2007 - About 19 years ago
Identifiers
FL License # ME 72688
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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