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Contact Information

LEGENDS DERMATOLOGY, LLC
1497 LEGENDS BOULEVARD
DAVENPORT, FL33896
 Phone: 863-738-5487
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LEGENDS DERMATOLOGY, LLC

NPI # 1780081869
LBN Legal business name LEGENDS DERMATOLOGY, LLC
Authorized official IULIA FUNIERU - (SOLE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2014
Last updated 09/26/2019 - About 7 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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