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OCEANS DERMATOLOGY LLC NPI 1013401710


NPI Information

NPI: 1013401710
Provider Name: OCEANS DERMATOLOGY, LLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 10D2169717

Address:
10151 ENTERPRISE CENTER BLVD
SUITE 204
BOYNTON BEACH, FL
ZIP 33437
Phone: (561) 235-4222
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OCEANS DERMATOLOGY, LLC is a mohs-micrographic surgery dermatology in Boynton Beach, FL. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. OCEANS DERMATOLOGY, LLC NPI is 1013401710. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10151 ENTERPRISE CENTER BLVD
SUITE 204
BOYNTON BEACH, FL
ZIP 33437-761
Phone: (561) 235-4222
Fax: (561) 737-8583

The provider's authorized official is Teo D Damse .
The authorized official title is Ceo and has the following contact phone number (561) 405-3000.

The CLIA number assigned to this NPI record is 10D2169717 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/18/2018 and was last updated on 8/27/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VLXSPOTHERFLORIDABCBS

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: 11/14/2023

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