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REFLECTIONS DERMATOLOGY AND CENTER FOR SKIN CARE PLLC NPI 1992908578


NPI Information

NPI: 1992908578
Provider Name: REFLECTIONS DERMATOLOGY AND CENTER FOR SKIN CARE PLLC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 10D1079655

Address:
875 OUTER RD
ORLANDO, FL
ZIP 32814
Phone: (407) 895-8818
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REFLECTIONS DERMATOLOGY AND CENTER FOR SKIN CARE PLLC is a procedural dermatology dermatology in Orlando, 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). REFLECTIONS DERMATOLOGY AND CENTER FOR SKIN CARE PLLC NPI is 1992908578. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

875 OUTER RD
ORLANDO, FL
ZIP 32814
Phone: (407) 895-8818
Fax: (407) 291-3800

The provider's authorized official is Dimitry Michael Palceski .
The authorized official title is President and has the following contact phone number (407) 895-8818.

The CLIA number assigned to this NPI record is 10D1079655 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 6/11/2021.


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 DermatologyOS9674FLORIDAYes

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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