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Contact Information

SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.
10973 SE 175TH PL STE 100
SUMMERFIELD, FL34491
 Phone: 352-873-7788
 Fax: 352-873-9397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.

NPI Number 1336257450
LBN Legal business name SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.
Authorized official MARY BARBER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2006
Last updated 11/05/2024 - More than a year ago
Identifiers
FL License # ME0062067
FL Medicaid 372699100
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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