CENTER FOR DERMATOLOGY PA (NPI# 1689693558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689693558 |
| Entity Type | Organization |
| Organization Name | CENTER FOR DERMATOLOGY PA |
| Other Organization Name | CENTER FOR DERMATOLOGY PA |
| Practice Address |
1480 N University Dr Coral Springs FL 33071-6040 |
| Practice Telephone | 9547531030 |
| Practice Fax Number | 9547531115 |
| Mailing Telephone | 9547531030 |
| Mailing Fax Number | 9547531115 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-10-05 |
| Authorized Official Name | MRS. BONNIE POLLACK (OFFICE MANAGER) |
| Authorized Official Telephone | 9547531030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Dermatology PA | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073646212 | Center for Dermatology Pa | Dermatology | 128 Columbia Tpke, Suite 200, Florham Park, NJ 07932-2283 | 2007-03-14 |
| Street Address |
1480 N UNIVERSITY DR |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33071-6040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987391 | Peter Michael Wallach | Dermatology | 1480 N University Dr, Coral Springs, FL 33071-6040 | 2005-07-26 |
| 1023077690 | Colette Caputo | Physician Assistant | 1480 N University Dr, Coral Springs, FL 33071-6040 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033791 | Wendy Beth Heidkamp | Pharmacist | 8231 Nw 6th Court, Coralsprings, FL 33071 | 2020-08-17 |
| 1265041420 | Shashera Pringle | Nurse Practitioner | 10948 Nw 3rd Street, Coral Springs, FL 33071 | 2020-07-23 |
| 1568084580 | Redsky Solutions, Inc. | Non-emergency Medical Transport (VAN) | 695 Nw 100th Ln, Coral Springs, FL 33071 | 2020-05-13 |
| 1578112991 | Dr G's Pharmacy, Inc | Pharmacy | 2224 N. University Drive, Coral Springs, FL 33071 | 2019-09-09 |
| 1366935447 | Nonye Gali | Occupational Therapy Assistant | 9017 Nw 19th St, Coral Springs, FL 33071 | 2018-06-12 |
| 1255855151 | Elisabet Stumper | Speech-Language Pathologist | 1313 Nw 100th Drive, Coral Springs, FL 33071 | 2017-08-01 |
| 1578093175 | Make It Happen Nursing, LLC | Nursing Care | 8835 Nw 3rd Court, Coral Springs, FL 33071 | 2017-06-15 |
| 1023547304 | Steven Quanhien Thach | Physical Therapist | 2043 N University Dr., Coral Springs, FL 33071 | 2017-06-08 |
| 1083063945 | Health Care Clinic At Walgreens | Clinic/Center | 1724 Nw 126th Dr, Coral Springs, FL 33071 | 2016-06-10 |
| 1902285703 | J&j Comprehensive Medical Care LLC | Internal Medicine | 1505 N. University Drive, Suite 400, Coral Springs, FL 33071 | 2015-05-26 |
| Find all providers in zip 33071 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| 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. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
| 1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
| 1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
| 1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
| 1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
| City | CORAL SPRINGS |
| Zip Code | 33071 |
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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.