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WATER'S EDGE DERMATOLOGY NPI 1477906857


NPI Information

NPI: 1477906857
Provider Name: WATER'S EDGE DERMATOLOGY
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
7605 CONROY WINDERMERE RD
ORLANDO, FL
ZIP 32835
Phone: (561) 693-0540
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WATER'S EDGE DERMATOLOGY is a procedural dermatology dermatology in Orlando, 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). WATER'S EDGE DERMATOLOGY NPI is 1477906857. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7605 CONROY WINDERMERE RD
ORLANDO, FL
ZIP 32835-646
Phone: (561) 693-0540
Fax: (561) 422-4212

The provider's authorized official is Amanda Mitchell .
The authorized official title is Billing Director and has the following contact phone number (561) 693-0540.

The enumeration date for this NPI number is 7/20/2016 and was last updated on 7/20/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207ND0900XDermatologyDermatopathologyNo
4207NS0135XDermatologyProcedural DermatologyYes

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

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