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CENTRAL FLORIDA DERMATOLOGY ASSOCIATES P A NPI 1639396765


NPI Information

NPI: 1639396765
Provider Name: CENTRAL FLORIDA DERMATOLOGY ASSOCIATES P A

Former Legal Business Name: KATHLEEN W. JUDGE, MD, PA

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
700 E MICHIGAN ST
ORLANDO, FL
ZIP 32806
Phone: (407) 481-2620
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CENTRAL FLORIDA DERMATOLOGY ASSOCIATES P A is a specialist in Orlando, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTRAL FLORIDA DERMATOLOGY ASSOCIATES P A NPI is 1639396765. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Kathleen W. Judge, Md, Pa.

The provider's business location address is:

700 E MICHIGAN ST
ORLANDO, FL
ZIP 32806-624
Phone: (407) 481-2620
Fax: (407) 992-7700

The provider's authorized official is Kathleen W. Judge .
The authorized official title is Medical Director and has the following contact phone number (407) 481-2620.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 11/27/2007.


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
1174400000XSpecialistME72700LOUISIANAYes

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
1K2919MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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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