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INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC NPI 1164165296


NPI Information

NPI: 1164165296
Provider Name: INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC
Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

CLIA Number: 10D2277655

Address:
1617 S TUTTLE AVE FL 3
SARASOTA, FL
ZIP 34239
Phone: (941) 499-0199
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INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC is an oncology clinic center in Sarasota, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. INSTITUTE OF DERMATOLOGY & OCULOPLASTIC SURGERY PLLC NPI is 1164165296. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1617 S TUTTLE AVE FL 3
SARASOTA, FL
ZIP 34239-132
Phone: (941) 499-0199
Fax: (941) 200-4021

The provider's authorized official is Ilya Lim .
The authorized official title is Co-owner and has the following contact phone number (941) 499-0199.

The CLIA number assigned to this NPI record is 10D2277655 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/17/2022 and was last updated on 10/10/2023.


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
1207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryNo
2207NP0225XDermatologyPediatric DermatologyNo
3207NS0135XDermatologyProcedural DermatologyNo
4261QX0200XClinic/CenterOncologyYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.