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Contact Information

PREMIER DERMATOLOGY ASSOCIATES, INC
825 CORAL RIDGE DR
CARDIOVASCULAR SUITES
CORAL SPRINGS, FL33071-4180
 Phone: 305-810-8846
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for PREMIER DERMATOLOGY ASSOCIATES, INC

NPI Number 1730956855
LBN Legal business name PREMIER DERMATOLOGY ASSOCIATES, INC
Authorized official ARKADY KALYUZHNY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2023
Last updated 12/08/2023 - About 2 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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