Suncoast Skin Solutions

LBN: Suncoast Skin Solutions
Suncoast Skin Solutions is an health care organization with primary practice located at 4651 Van Dyke Rd , Lutz FL 33558-4880. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Suncoast Skin Solutions can be contacted via phone (813) 321-1786, or through Ewanowski, Christopher David via phone (813) 321-1786.

Contact Information

Primary practice address
4651 Van Dyke Rd Lutz FL 33558-4880
Phone: (813) 321-1786
Fax: (813) 321-1787
Website:
Map and Directions
Authorized official contact:
Name: Ewanowski, Christopher David Doctor of Medicine (MD)
Phone: (813) 321-1786

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME100378 Florida

Profile Details

NPI number 1487827416
LBN Legal business name Suncoast Skin Solutions
DBA Doing business as
Authorized official Ewanowski, Christopher David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2008
Last updated Mar 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487827416 NPPES
Florida MEDICAID 001793700

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