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Contact Information

SANDERS DERMATOLOGY AND SKIN CANCER CENTER,LLC
1155 35TH LN
SUITE 202
VERO BEACH, FL32960-6521
 Phone: 772-778-7782
 Fax: 772-778-7879
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for SANDERS DERMATOLOGY AND SKIN CANCER CENTER,LLC

NPI Number 1871864264
LBN Legal business name SANDERS DERMATOLOGY AND SKIN CANCER CENTER,LLC
Authorized official JONATHAN SANDERS - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2012
Last updated 01/18/2012 - About 14 years ago
Identifiers
FL License # 87851
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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