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CENTER FOR SKIN CANCER SURGERY INC. NPI 1871900233


NPI Information

NPI: 1871900233
Provider Name: CENTER FOR SKIN CANCER SURGERY, INC.
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 10D1082941

Address:
7960 N WICKHAM RD
SUITE 105
MELBOURNE, FL
ZIP 32940
Phone: (321) 428-4545
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CENTER FOR SKIN CANCER SURGERY, INC. is a mohs-micrographic surgery dermatology in Melbourne, FL. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. CENTER FOR SKIN CANCER SURGERY, INC. NPI is 1871900233. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7960 N WICKHAM RD
SUITE 105
MELBOURNE, FL
ZIP 32940
Phone: (321) 428-4545
Fax: (321) 421-7898

The provider's authorized official is Jeannine Stein .
The authorized official title is Owner and has the following contact phone number (321) 428-4545.

The CLIA number assigned to this NPI record is 10D1082941 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/17/2014 and was last updated on 8/25/2023.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryME88079FLORIDAYes

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
1RH580OTHERFLORIDAHFMG MA

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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