Provider Type Icon

FLORIDA SKIN CENTER INC NPI 1730173709


NPI Information

NPI: 1730173709
Provider Name: FLORIDA SKIN CENTER INC
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 10D2147363

Address:
13691 METROPOLIS AVE
FORT MYERS, FL
ZIP 33912
Phone: (239) 561-3376
Get Directions

FLORIDA SKIN CENTER INC is a dermatology in Fort Myers, FL. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. FLORIDA SKIN CENTER INC NPI is 1730173709. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13691 METROPOLIS AVE
FORT MYERS, FL
ZIP 33912-318
Phone: (239) 561-3376
Fax: (239) 561-3020

The provider's authorized official is Anais Aurora Badia .
The authorized official title is Owner President and has the following contact phone number (239) 561-3376.

The CLIA number assigned to this NPI record is 10D2147363 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 10/23/2013.


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
1207N00000XDermatology05007304FLORIDAYes

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
158688OTHERFLORIDABCBS
2H38305MEDICARE 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.