Summit Dermatology And Spa Llc

LBN: Summit Dermatology And Spa Llc
Summit Dermatology And Spa Llc is an health care organization with primary practice located at 3298 Summit Blvd Ste 12 , Pensacola FL 32503-4350. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Summit Dermatology And Spa Llc can be contacted via phone (850) 518-3881, or through Laing, Angie via phone (850) 518-3881.

Contact Information

Primary practice address
3298 Summit Blvd Ste 12 Pensacola FL 32503-4350
Phone: (850) 518-3881
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Laing, Angie
Phone: (850) 518-3881

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1578206785
LBN Legal business name Summit Dermatology And Spa Llc
DBA Doing business as
Authorized official Laing, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2022
Last updated Dec 23rd, 2022 - about 4 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 1578206785 NPPES
Florida MEDICAID 018326600

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