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ACUTE DERMATOLOGY CLINIC PA NPI 1427221605


NPI Information

NPI: 1427221605
Provider Name: ACUTE DERMATOLOGY CLINIC PA
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
9400 GLADIOLUS DR
SUITE 320
FORT MYERS, FL
ZIP 33908
Phone: (239) 482-7546
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ACUTE DERMATOLOGY CLINIC PA is a clinic center in Fort Myers, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ACUTE DERMATOLOGY CLINIC PA NPI is 1427221605. The provider is registered as an organization entity type.

The provider's business location address is:

9400 GLADIOLUS DR
SUITE 320
FORT MYERS, FL
ZIP 33908-699
Phone: (239) 482-7546

The provider's authorized official is Chau Paulina Vu .
The authorized official title is Owner and has the following contact phone number (239) 482-7546.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 6/27/2008.


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
1261Q00000XClinic/CenterOS9425FLORIDAYes

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
1AJ932OTHERFLORIDAMEDICARE PTAN
2I33972MEDICARE UPIN
3274238100MEDICAIDFLORIDA

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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