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VILLAGE DERMATOLOGY & COSMETIC SURGERY LLC NPI 1013098755


NPI Information

NPI: 1013098755
Provider Name: VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 10D1041914

Address:
1950 LAUREL MANOR DR
BUILDING 220, SUITE 224
THE VILLAGES, FL
ZIP 32162
Phone: (352) 751-6565
Get Directions

VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC is a procedural dermatology dermatology in The Villages, FL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC NPI is 1013098755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1950 LAUREL MANOR DR
BUILDING 220, SUITE 224
THE VILLAGES, FL
ZIP 32162
Phone: (352) 751-6565
Fax: (352) 205-7777

The provider's authorized official is Thi Thien Tran .
The authorized official title is Owner/physician and has the following contact phone number (352) 751-6565.

The CLIA number assigned to this NPI record is 10D1041914 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 10/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural DermatologyOS8364FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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