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HIALEAH DERMATOLOGY AND COSMETIC CENTER LLC NPI 1558450908


NPI Information

NPI: 1558450908
Provider Name: HIALEAH DERMATOLOGY AND COSMETIC CENTER LLC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
7000 W 12TH AVE
SUITE#4
HIALEAH, FL
ZIP 33014
Phone: (305) 822-0678
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HIALEAH DERMATOLOGY AND COSMETIC CENTER LLC is a procedural dermatology dermatology in Hialeah, 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). HIALEAH DERMATOLOGY AND COSMETIC CENTER LLC NPI is 1558450908. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7000 W 12TH AVE
SUITE#4
HIALEAH, FL
ZIP 33014-154
Phone: (305) 822-0678
Fax: (305) 822-0698

The provider's authorized official is Nelson Eddie Velazquez .
The authorized official title is President and has the following contact phone number (305) 822-0678.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 3/7/2023.


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
1207NS0135XDermatologyProcedural DermatologyOS6127FLORIDAYes

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
1OS6127OTHERFLORIDAMEDICAL LICENSE NUMBER
2600471-7OTHERFLORIDAOCCUPATIONAL LICENSE

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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