Palm Bay Dermatology

LBN: Florida Dermatology Associates Inc
Palm Bay Dermatology is an health care organization with primary practice located at 5070 Minton Rd Nw Suite 5, Palm Bay FL 32907-1157. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. Florida Dermatology Associates Inc can be contacted via phone (321) 768-1600, or through Moreno, Ruben via phone (321) 768-1600.

Contact Information

Primary practice address
5070 Minton Rd Nw Suite 5 Palm Bay FL 32907-1157
Phone: (321) 768-1600
Fax: (321) 768-6418
Website:
Map and Directions
Authorized official contact:
Name: Moreno, Ruben Doctor of Medicine (MD)
Phone: (321) 768-1600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME51282 Florida

Profile Details

NPI number 1073577136
LBN Legal business name Florida Dermatology Associates Inc
DBA Doing business as Palm Bay Dermatology
Authorized official Moreno, Ruben Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2006
Last updated Nov 10th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073577136 NPPES
Florida Other 070002166A RAILROAD MEDICARE
Florida Other 94928 RAILROAD MEDICARE
Florida Other 169940 RAILROAD MEDICARE

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