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PBD&P INC NPI 1689640328


NPI Information

NPI: 1689640328
Provider Name: PBD&P INC

Doing Business As: PALM BEACH DERMATOLOGY INC

Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 10D2166043

Address:
4475 MEDICAL CENTER WAY
SUITE 2
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 840-0995
Get Directions

PBD&P INC is a dermatopathology dermatology in West Palm Beach, FL. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. PBD&P INC NPI is 1689640328. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Palm Beach Dermatology Inc.

The provider's business location address is:

4475 MEDICAL CENTER WAY
SUITE 2
WEST PALM BEACH, FL
ZIP 33407-240
Phone: (561) 840-0995
Fax: (561) 840-0661

The provider's authorized official is Daniel O Sokoloff .
The authorized official title is President and has the following contact phone number (561) 840-0995.

The CLIA number assigned to this NPI record is 10D2166043 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 5/4/2012.


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
3207ND0900XDermatologyDermatopathologyYes

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
1K0388CMEDICARE PINFLORIDA
2K0388DMEDICARE PINFLORIDA
321482OTHERFLORIDABLUE CROSS GROUP NUMBER
4K0388EMEDICARE PINFLORIDA
5K0388FMEDICARE PINFLORIDA
6K0388BMEDICARE PINFLORIDA
7K0388HMEDICARE PINFLORIDA
8K0388GMEDICARE PINFLORIDA
9K0388MEDICARE PINFLORIDA

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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