AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A. NPI 1003003195

Dermatology (Procedural Dermatology) in Fort Lauderdale, FL

About AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A.

Aventura Dermatology & Cosmetic Center, P.a. is a provider in Fort Lauderdale, FL. The NPI number assigned to this provider is 1003003195. The practitioner's primary taxonomy code is Dermatology (207NS0135X). The provider is registered as an organization and their NPI record was last updated 10 years ago. 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.

NPI1003003195 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameAVENTURA DERMATOLOGY & COSMETIC CENTER, P.A.
Provider Location Address5721 NE 27TH AVE FORT LAUDERDALE, FL 33308 Additional informationCallout TooltipProvider 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 Address5721 NE 27TH AVE FORT LAUDERDALE, FL 33308 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Other Organization NameFT. LAUDERDALE DERMATOLOGY AND COSMETIC CENTER Additional informationCallout TooltipProvider other organization name
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. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeFormer Legal Business Name (4)
Enumeration Date10-02-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-02-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A.
5721 NE 27TH AVE
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 772-0416
Fax: (954) 772-5716
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Mailing Address

AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A.
5721 NE 27TH AVE
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 772-0416
Fax: (954) 772-5716

Primary Taxonomy

Taxonomy Code207NS0135X Additional informationCallout TooltipPrimary 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.
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
SpecializationProcedural Dermatology
Taxonomy DescriptionProcedural 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).

Authorized Official

Authorized Official NameDR. IGOR CHAPLIK D.O. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER
Authorized Official Phone(954) 772-0416

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.

Map Location


AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A. address is 5721 NE 27TH AVE FORT LAUDERDALE, FL 33308

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124286695LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Organization
Dermatology5721 NE 27TH AVE
FORT LAUDERDALE, FL 33308
(954) 772-0416
1427167261 JASON GREEN DO
Individual
Dermatology5721 NE 27TH AVE
FORT LAUDERDALE, FL 33308
(954) 772-0416
1548411077FT. LAUDERDALE DERMATOLOGY & COSMETIC CENTER
Organization
Dermatology5721 NE 27TH AVE
FT LAUDERDALE, FL 33308
(954) 772-0416
1841597572 NATHALIE Z FECTEAU PA
Individual
Physician Assistant5721 NE 27TH AVE
FORT LAUDERDALE, FL 33308
(954) 772-0416
1952410789 IGOR CHAPLIK DO
Individual
Dermatology5721 NE 27TH AVE
FORT LAUDERDALE, FL 33308
(954) 772-0416