<Unavail>

LBN: Water'S Edge Dermatology, Llc
<Unavail> is an health care organization with primary practice located at 600 Village Square Crossing , Palm Beach Gardens FL 33410. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Water'S Edge Dermatology, Llc can be contacted via phone (561) 694-9493, or through Davis, Susan via phone (561) 693-0540.

Contact Information

Primary practice address
600 Village Square Crossing Palm Beach Gardens FL 33410
Phone: (561) 694-9493
Fax: (561) 694-9064
Website:
Map and Directions
Authorized official contact:
Name: Davis, Susan
Phone: (561) 693-0540

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1134148992
LBN Legal business name Water'S Edge Dermatology, Llc
DBA Doing business as <Unavail>
Authorized official Davis, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 11th, 2015 - about 11 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 1134148992 NPPES
Florida Other 38243 BCBS

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