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Contact Information

PURE SKIN DERMATOLOGY AND AESTHETICS, LLC
7932 W SAND LAKE RD
SUITE 206
ORLANDO, FL32819-7263
 Phone: 407-900-2580
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for PURE SKIN DERMATOLOGY AND AESTHETICS, LLC

NPI # 1598025447
LBN Legal business name PURE SKIN DERMATOLOGY AND AESTHETICS, LLC
Authorized official DEBRA GRAYMAN - (MGRM)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2012
Last updated 02/14/2017 - About 9 years ago
Identifiers
FL License # ME98190
FL Other 1598025447 GROUP NPI
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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