Boutique Dermatology Llc

LBN: Boutique Dermatology Llc
Boutique Dermatology Llc is an health care organization with primary practice located at 1400 S Orlando Ave Ste 101 , Winter Park FL 32789-5543. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Boutique Dermatology Llc can be contacted via phone (407) 305-9195, or through Fox, Shelley via phone (321) 439-9505.

Contact Information

Primary practice address
1400 S Orlando Ave Ste 101 Winter Park FL 32789-5543
Phone: (407) 305-9195
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fox, Shelley
Phone: (321) 439-9505

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1336971449
LBN Legal business name Boutique Dermatology Llc
DBA Doing business as
Authorized official Fox, Shelley
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2024
Last updated Aug 16th, 2024 - about 2 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.

Request for update

Popular Providers