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SHAUNA KRANENDONK LLC NPI 1710900600


NPI Information

NPI: 1710900600
Provider Name: SHAUNA KRANENDONK LLC

Doing Business As: SKYE CENTER FOR DERMATOLOGY

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
224 CHIMNEY CORNER LANE
SUITE#3002
JUPITER, FL
ZIP 33458
Phone: (561) 820-0155
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SHAUNA KRANENDONK LLC is a procedural dermatology dermatology in Jupiter, 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). SHAUNA KRANENDONK LLC NPI is 1710900600. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Skye Center For Dermatology.

The provider's business location address is:

224 CHIMNEY CORNER LANE
SUITE#3002
JUPITER, FL
ZIP 33458
Phone: (561) 820-0155
Fax: (561) 691-3281

The provider's authorized official is Shauna Kay Kranendonk .
The authorized official title is Physician and has the following contact phone number (561) 820-0155.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/10/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural DermatologyME84713FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113342MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
21659316867OTHERFLORIDAINDIVIDUAL NPI
3H16219MEDICARE UPINFLORIDA

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: 5/5/2024

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