Organization Name: | DERMATOLOGY ASSOCIATES OF NAPLES LLC |
NPI Number: | 1851400949 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT W. LOSS (PRESIDENT) |
Mailing Address: | 9510 Bonita Beach Rd Se Unit 101 Bonita Springs |
State: | FL US |
Postal Code: | 341354699 |
Phone Number: | 2395971400 |
Fax Number: | 2395974144 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0610123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |