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Contact Information

ORLANDO DERMATOLOGY CLINIC, LLC
3261 US HIGHWAY 441/27 STE F1
FRUITLAND PARK, FL34731-4495
 Phone: 352-218-3211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ORLANDO DERMATOLOGY CLINIC, LLC

NPI # 1427670595
LBN Legal business name ORLANDO DERMATOLOGY CLINIC, LLC
Authorized official TAREK SHAATH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2020
Last updated 07/14/2021 - About 5 years ago
Identifiers n/a
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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