Waterside Dermatology Pllc

LBN: Waterside Dermatology Pllc
Waterside Dermatology Pllc is an health care organization with primary practice located at 300 Riverside Dr E Ste 2200 , Bradenton FL 34208-1023. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Waterside Dermatology Pllc can be contacted via phone (941) 748-3376, or through Ekhlassi, Erfon via phone (941) 748-3376.

Contact Information

Primary practice address
300 Riverside Dr E Ste 2200 Bradenton FL 34208-1023
Phone: (941) 748-3376
Fax: (941) 748-7562
Website:
Map and Directions
Authorized official contact:
Name: Ekhlassi, Erfon Doctor of Medicine (MD)
Phone: (941) 748-3376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1639856297
LBN Legal business name Waterside Dermatology Pllc
DBA Doing business as
Authorized official Ekhlassi, Erfon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2023
Last updated Mar 5th, 2025 - about last year

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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