ORLANDO DERMATOLOGY CLINIC, LLC (NPI# 1427670595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427670595 |
| Entity Type | Organization |
| Organization Name | ORLANDO DERMATOLOGY CLINIC, LLC |
| Other Organization Name | CARE DERMATOLOGY AND SKIN CANCER CENTERS |
| Practice Address |
3261 Us Highway 441/27 Ste F1 Fruitland Park FL 34731-4495 |
| Mailing Address |
1040 Lake Sumter Lndg The Villages FL 32162-2697 |
| Practice Telephone | 3522183211 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | TAREK S SHAATH (OWNER) |
| Authorized Official Telephone | 7857606740 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Care Dermatology and Skin Cancer Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891257655 | Orlando Dermatology Clinic, LLC | Dermatology | 1040 Lake Sumter Lndg, The Villages, FL 32162-2697 | 2019-04-02 |
| Street Address |
3261 US HIGHWAY 441/27 STE F1 |
| City | FRUITLAND PARK |
| State | FL |
| Zip Code | 34731-4495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417403700 | Omni Caring Services | Custodial Care Facility | 36154 S. Grays Airport Road, Fruitland Park, FL 34731 | 2016-08-28 |
| 1386059707 | The Medicine Chest - Spanish Springs Town Square, LLC | Pharmacy | 2468 Us Highway 441/27 Ste 105, Fruitland Park, FL 34731 | 2014-06-24 |
| 1578989588 | Next Door Home Health D3 LLC | Home Health | 2405 N. Hwy 27/441, Bldg. 2, Fruitland Park, FL 34731 | 2014-03-14 |
| 1912320219 | Nicholas Frank Romano | Speech-Language Pathologist | 105 East Fruitland Street, Fruitland Park, FL 34731 | 2014-01-23 |
| 1184989295 | Jennifer Nasrin Paul | Chiropractor | 3261 U.S. Hwy. 27/441, Suite A1, Fruitland Park, FL 34731 | 2012-07-05 |
| 1093085391 | Donald E Smith | Hearing Instrument Specialist | 2468 Us Hwy 441 Suite 104, Fruitland Park, FL 34731 | 2012-01-04 |
| 1336451848 | Lavette Denise Gulley | Chore Provider | 241 Walters Place, Fruitland Park, FL 34731 | 2010-07-13 |
| 1689844060 | Walter Edgar Macdonell | Dentist | 02313 Hwy 27-441, Fruitland Park, FL 34731 | 2008-03-03 |
| 1649467085 | James Francis Coy | General Practice | 2468 Highway 441, Suite 202, Fruitland Park, FL 34731 | 2007-10-01 |
| 1740402809 | Ralph Edward Toombs | Dentist | 02313 N Hwy 27 441, Friutland Park, FL 34731 | 2007-05-02 |
| Find all providers in zip 34731 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| Find all providers with the same taxonomy | ||||
| City | FRUITLAND PARK |
| Zip Code | 34731 |
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| 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.