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Contact Information

VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC
1950 LAUREL MANOR DR
BUILDING 220, SUITE 224
THE VILLAGES, FL32162
 Phone: 352-751-6565
 Fax: 352-205-7777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC

NPI # 1013098755
LBN Legal business name VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC
Authorized official THI TRAN - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 10/11/2019 - About 7 years ago
Identifiers
FL License # OS8364
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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