Indigo Dermatology Llc

LBN: Indigo Dermatology Llc
Indigo Dermatology Llc is an health care organization with primary practice located at 675 S Babcock St , Melbourne FL 32901-1459. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Indigo Dermatology Llc can be contacted via phone (321) 951-1010, or through Thareja, Sumeet via phone (321) 951-1010.

Contact Information

Primary practice address
675 S Babcock St Melbourne FL 32901-1459
Fax: (321) 952-4038
Website:
Authorized official contact:
Name: Thareja, Sumeet Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME123157 Florida

Profile Details

NPI number 1659743094
LBN Legal business name Indigo Dermatology Llc
DBA Doing business as
Authorized official Thareja, Sumeet Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2015
Last updated Jul 4th, 2019 - about 7 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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