FT. LAUDERDALE DERMATOLOGY AND COSMETIC CENTER (AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A.) NPI 1003003195
Dermatology (Procedural Dermatology) in Fort Lauderdale, FL
About FT. LAUDERDALE DERMATOLOGY AND COSMETIC CENTER (AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A.)
Ft. Lauderdale Dermatology And Cosmetic Center (aventura Dermatology & Cosmetic Center, P.a.) is a provider established in Fort Lauderdale, Florida specializing in dermatology (procedural dermatology) . The NPI number of Ft. Lauderdale Dermatology And Cosmetic Center (aventura Dermatology & Cosmetic Center, P.a.) is 1003003195 and was assigned on October 2007. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Ft. Lauderdale Dermatology And Cosmetic Center (aventura Dermatology & Cosmetic Center, P.a.) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Ft. Lauderdale Dermatology And Cosmetic Center. The authorized official of this NPI record is Dr. Igor Chaplik D.o. (Owner)
| NPI | 1003003195 |
| Provider Name | FT. LAUDERDALE DERMATOLOGY AND COSMETIC CENTER (AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A.) |
| Provider Location Address | 5721 NE 27TH AVE FORT LAUDERDALE, FL 33308 |
| Provider Mailing Address | 5721 NE 27TH AVE FORT LAUDERDALE, FL 33308 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | FT. LAUDERDALE DERMATOLOGY AND COSMETIC CENTER |
| Other Name Type | Former Legal Business Name (4) |
| Enumeration Date | 10-02-2007 |
| Last Update Date | 10-02-2007 |
Primary Taxonomy
| Taxonomy Code | 207NS0135X |
| Classification | Dermatology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Procedural Dermatology |
| Taxonomy Description | 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). |
Business Address
FT. LAUDERDALE DERMATOLOGY AND COSMETIC CENTER
5721 NE 27TH AVE
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 772-0416
Fax: (954) 772-5716
Mailing Address
FT. LAUDERDALE DERMATOLOGY AND COSMETIC CENTER
5721 NE 27TH AVE
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 772-0416
Fax: (954) 772-5716
Group Taxonomy
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Other Providers at the same location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427167261 | JASON GREEN DO Individual | Dermatology | 5721 NE 27TH AVE FORT LAUDERDALE, FL 33308 (954) 772-0416 |
| 1124286695 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC Organization | Dermatology | 5721 NE 27TH AVE FORT LAUDERDALE, FL 33308 (954) 772-0416 |
| 1548411077 | FT. LAUDERDALE DERMATOLOGY & COSMETIC CENTER Organization | Dermatology | 5721 NE 27TH AVE FT LAUDERDALE, FL 33308 (954) 772-0416 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.