SELECTSKINMD LLC NPI 1427414168

NPI Information

  • NPI: 1427414168
  • Provider Name: SELECTSKINMD LLC
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Organization
  • CLIA Number: 10D0663269
  • Address: 1325 36TH ST
    SUITE A
    VERO BEACH, FL
    ZIP 32960
  • Phone: (772) 567-1164

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NPI Details

SELECTSKINMD LLC is a mohs-micrographic surgery dermatology in Vero 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. SELECTSKINMD LLC NPI is 1427414168. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1325 36TH ST
SUITE A
VERO BEACH, FL
ZIP 32960-599
Phone: (772) 567-1164

The provider's authorized official is Monika Srivastava .
The authorized official title is Owner and has the following contact phone number (772) 567-1164.

The CLIA number assigned to this NPI record is 10D0663269 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 3/16/2016.

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
1207ND0101XDermatologyMOHS-Micrographic SurgeryME101443FLORIDAYes

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This page was last updated on: 3/30/2025

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