DAZZLING DERMATOLOGY, PLLC
NPI 1336752120
Dermatology in Boca Raton, FL
- Organization
- Dermatology
- CLIA Number: 10D2194282
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-20-2027
About DAZZLING DERMATOLOGY, PLLC
This page provides the complete NPI Profile along with additional information for Dazzling Dermatology, Pllc, a provider established in Boca Raton, Florida operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1336752120 assigned on August 2020. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Dazzling Dermatology, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Eric W Rudnick Md (Owner/dermatologist)
- NPI
- 1336752120 Verify this NPI
- Provider Name
- DAZZLING DERMATOLOGY, PLLC
- Entity Type
- Organization
- Location Address
- 22029 STATE ROAD 7 STE 1 BOCA RATON, FL 33428
- Location Phone
- (561) 923-0905
- Mailing Address
- 22029 STATE ROAD 7 STE 1 BOCA RATON, FL 33428
- Mailing Phone
- (561) 923-0905
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2020
- Last Update Date
- 08-31-2020
- Code Navigator
A dermatologist like Dazzling Dermatology, Pllc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2194282
- Facility Type
- Physician Office
- Certificate Effective Date
- June 21, 2025
- Certificate Expiration Date
- June 20, 2027
- Laboratory Director
- ERIC W. RUDNICK
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Dazzling Dermatology, Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336752120, enumerated as an "organization" on August 31, 2020.
The provider is located at 22029 STATE ROAD 7 STE 1 BOCA RATON, FL 33428 and the phone number is (561) 923-0905.
Dermatology with taxonomy code 207N00000X.
