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ASSOCIATES IN DERMATOLOGY M D P L NPI 1811950371


NPI Information

NPI: 1811950371
Provider Name: ASSOCIATES IN DERMATOLOGY M D P L
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 10D2120155

Address:
8381 RIVERWALK PARK BLVD
SUITE 101
FORT MYERS, FL
ZIP 33919
Phone: (239) 936-5425
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ASSOCIATES IN DERMATOLOGY M D P L is a procedural dermatology dermatology in Fort Myers, 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). ASSOCIATES IN DERMATOLOGY M D P L NPI is 1811950371. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8381 RIVERWALK PARK BLVD
SUITE 101
FORT MYERS, FL
ZIP 33919-760
Phone: (239) 936-5425
Fax: (239) 936-5176

The provider's authorized official is Shari L Skinner .
The authorized official title is President and has the following contact phone number (239) 936-5425.

The CLIA number assigned to this NPI record is 10D2120155 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 5/5/2010.


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 DermatologyFLORIDAYes

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
12071559OTHERFLORIDAAETNA
2CF4641OTHERFLORIDARAIL ROAD MEDICARE
377212OTHERFLORIDABC BS OF FLA
477212MEDICARE 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: 11/14/2023

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