Dermatology And Laser Center

LBN: N Fred Eaglstein Do Pa
Dermatology And Laser Center is an health care organization with primary practice located at 2055 Professional Center Dr , Orange Park FL 32073-4461. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. N Fred Eaglstein Do Pa can be contacted via phone (904) 276-4500, or through Eaglstein, N Fred via phone (904) 276-4500.

Contact Information

Primary practice address
2055 Professional Center Dr Orange Park FL 32073-4461
Phone: (904) 276-4500
Fax: (904) 276-4160
Website:
Map and Directions
Authorized official contact:
Name: Eaglstein, N Fred Doctor of Osteopathy (DO)
Phone: (904) 276-4500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1679574164
LBN Legal business name N Fred Eaglstein Do Pa
DBA Doing business as Dermatology And Laser Center
Authorized official Eaglstein, N Fred Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Jun 10th, 2008 - about 17 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 1679574164 NPPES
Florida MEDICAID 043624100

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