Aesthetic Dermatology Pa
LBN: Aesthetic Dermatology Pa
Aesthetic Dermatology Pa is an health care organization with primary practice located at 210 N Highway 27 Ste 1 , Clermont FL 34711-2411. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Aesthetic Dermatology Pa can be contacted via phone (352) 243-2544, or through Allyn, David L via phone (352) 267-0146.
Contact Information
Primary practice address
210 N Highway 27 Ste 1
Clermont FL 34711-2411
Phone: (352) 243-2544
Fax: (352) 243-2745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME70658 | Florida |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1225101231 |
|---|---|
| LBN Legal business name | Aesthetic Dermatology Pa |
| DBA Doing business as | |
| Authorized official | Allyn, David L MD, FAAD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Sep 30th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225101231 | NPPES |
| Florida | MEDICAID | 011965400 | |
| Florida | MEDICAID | 011965403 |
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