DAZZLING DERMATOLOGY, PLLC


Address: 22029 State Road 7 Ste 1, Boca Raton, FL 33428-4200
Phone: 5619230905

DAZZLING DERMATOLOGY, PLLC (NPI# 1336752120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336752120
Entity Type Organization
Organization Name DAZZLING DERMATOLOGY, PLLC
Practice Address 22029 State Road 7 Ste 1
Boca Raton
FL 33428-4200
Practice Telephone 5619230905
Mailing Telephone 5619230905
Enumeration Date 2020-08-31
Last Update Date 2020-08-31
Authorized Official Name DR. ERIC W RUDNICK (OWNER/DERMATOLOGIST)
Authorized Official Telephone 5619230905
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ND0900X Dermatology
Specialization: Dermatopathology
Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Office Location

Street Address 22029 STATE ROAD 7 STE 1
City BOCA RATON
State FL
Zip Code 33428-4200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790171353 Eric Rudnick Dermatology 22029 State Road 7 Ste 1, Boca Raton, FL 33428-4200 2015-04-10
1952757486 Danielle A Rudnick Physician Assistant 22029 State Road 7 Ste 1, Boca Raton, FL 33428-4200 2016-05-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174016604 Eliane Dos Santos Lamarche Behavior Technician 11514 Country Sound Ct, Boca Raton, FL 33428 2018-06-09
1447740840 Wilzade Joseph Assisted Living Facility 22319 Sw 65th Ave, Boca Raton, FL 33428 2018-05-11
1477065316 Pamela Manning Nurse Practitioner 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 2017-11-01
1912428624 Carole Mandat Assistant Behavior Analyst 11083 Baybreeze Way, Boca Raton, FL 33428 2017-07-03
1679025571 Tam Thu Tran Physician Assistant 22864 Neptune Road, Boca Raton, FL 33428 2016-10-27
1922458355 Zurab Akakievich Iosava Specialist/Technologist, Other 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 2016-06-16
1497125280 Robert Jay Drimmer Internal Medicine 21357 Bridgeview Drive, Boca Raton, FL 33428 2015-10-06
1710391966 Pathway 2 Recovery Gold Coast Clinic/Center 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 2014-06-16
1134564727 Mary Margaret Spitzer Nurse Practitioner 9980 Central Park Blvdn, Boca Ration, FL 33428 2013-05-08
1619312816 Alan Wasserman Dentist 22053 S.r. 7, Boca Raton, FL 33428 2013-05-02
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699319988 Revivify Dermatology, LLC Dermatology 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 2019-10-30
1770144123 Mobile Dermatology Care Pllc Dermatology 4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450 2019-06-26
1790171353 Eric Rudnick Dermatology 22029 State Road 7 Ste 1, Boca Raton, FL 33428-4200 2015-04-10
1649616970 Moum Dermatology LLC Dermatology 445 S Federal Hwy, Boca Raton, FL 33432-6027 2013-05-14
1114361235 Dermpartners Inc Dermatology 21020 State Rd 7, Suite 120, Boca Raton, FL 33428 2013-04-19
1831410315 Kenneth Jon Folsom Dermatology 3902 Nw 23rd Ct, Boca Raton, FL 33431-5446 2010-06-18
1588810808 Lloyd George Wickboldt Dermatology 6630 Patio Ln, Boca Raton, FL 33433-6631 2008-08-18
1417115304 Channing Rachel Barnett Dermatology 7100 W Camino Real Ste 301, Boca Raton, FL 33433-5510 2008-05-28
1164626545 Patricia Sara Klem Dermatology 1905 Clint Moore Rd. Ste. 103, Advanced Dermatology, Boca Raton, FL 33496 2007-06-12
1255545547 John Alan Kulick Dermatology 22804 Marbella Circle, Boca Raton, FL 33433-3802 2007-05-09
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Competitor

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City BOCA RATON
Zip Code 33428

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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