Atlantic Derm Pllc
LBN: Atlantic Derm Pllc
Atlantic Derm Pllc is an health care organization with primary practice located at 16244 S Military Trl Ste 490 , Delray Beach FL 33484-6532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty.
Atlantic Derm Pllc can be contacted via phone (561) 802-7546, or through Tivoli, Yvette via phone (561) 802-7546.
Contact Information
Primary practice address
16244 S Military Trl Ste 490
Delray Beach FL 33484-6532
Phone: (561) 802-7546
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1962972992 |
|---|---|
| LBN Legal business name | Atlantic Derm Pllc |
| DBA Doing business as | |
| Authorized official | Tivoli, Yvette Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 3rd, 2018 |
| Last updated | Dec 3rd, 2018 - about 8 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 | 1962972992 | NPPES |
| Florida | Other | OS10758 | MEDICAL LICENSE |
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